Transverse Colon Volvulus presenting as Bowel Obstruction, Atelectasis, and Displacement of the Right Lobe of the Liver into the left upper Abdominal Quadrant: a case report

Abstract
Transverse colon volvulus is an uncommon cause of intestinal obstruction. It is a surgical emergency that can lead to bowel infarction, peritonitis, and death. We report a case of transverse colon volvulus in a 35-year-old Congolese immigrant man who had a rare presentation with features of intestinal obstruction associated with right lung collapse and left mediastinal shift. This case is unusual because it presented with respiratory features that mimicked a pneumothorax in addition to features of intestinal obstruction. The use of point-of-care lung ultrasound was helpful in ruling out a pneumothorax, and this could help avoid situations such as unintentional chest drain insertions by other professionals who may encounter a similar case. Because transverse colon volvulus is rare, a high level of suspicion and awareness is required to make an accurate diagnosis.
Description
Keywords
Point of care ultrasonography, Transverse colon volvulus, Displacement of the right lobe of the liver, Bowel obstruction, Right lung collapse
Citation
Paton, N. I., Musaazi, J., Kityo, C., Walimbwa, S., Hoppe, A., Balyegisawa, A., ... & Walker, S. (2022). Efficacy and safety of dolutegravir or darunavir in combination with lamivudine plus either zidovudine or tenofovir for second-line treatment of HIV infection (NADIA): week 96 results from a prospective, multicentre, open-label, factorial, randomised, non-inferiority trial. The Lancet HIV, 9(6), e381-e393.https://doi.org/10.1016/S2352-3018(22)00092-3