Chronic Recurrent Volvulus of the Colonic Splenic Flexure Associated with the Eventration of Left Diaphragm.
- Author:
Hee Sun KIM
1
;
Jeong Seon YOO
;
Seok Joo HAN
;
Hyojin PARK
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. HJPARK21@yumc.yonsei.ac.kr
- Publication Type:Case Report ; English Abstract
- Keywords:
Diaphragmatic eventration;
Colonic volvulus;
Splenic flexure
- MeSH:
Adult;
Barium Sulfate/diagnostic use;
Chronic Disease;
*Colon, Transverse;
Colonic Diseases/*radiography/surgery;
Diaphragmatic Eventration/*complications/radiography/surgery;
Humans;
Intestinal Volvulus/etiology/*radiography/surgery;
Male;
Recurrence;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2007;49(1):37-40
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The eventration of diaphragm is usually found incidentally on chest X-ray or sometimes presented as acute gastric volvulus. However, colonic volvulus on splenic flexure area complicated by diaphragmatic eventration is extremely rare. A 25 year old man complained of upper abdominal pain for three days. He had a history of brain injury during infant period, and had epilepsy and mental retardation. Plain chest X-ray showed left diaphragmatic eventration and marked dilatation of colon on splenic flexure area which had not been changed for last three years. Barium enema showed bird beak appearance on distal colon near the splenic flexure. Colonoscopic reduction failed. After decompression with rectal and nasogastric tubes, colonic volvulus was relieved. To prevent the recurrence of volvulus, we performed segmental resection of left colon including splenic flexure area and repaired the left diaphragmatic eventration. After the operation, the patient had no further recurrent episode of volvulus although ileus persisted.
