Primary splenic flexure volvulus

Mittal R, Samarasam I, Chandran S, Mathew G
Correspondence: Dr Inian Samarasam, inians@cmcvellore.ac.in

ABSTRACT
Primary splenic flexure volvulus is a rare entity. We report an acute presentation of primary splenic flexure volvulus with gangrene in a 24-year-old man. Radiograph showed a massively-dilated large bowel loop with a coffee-bean sign. At emergency laparotomy, a distended and gangrenous splenic flexure was found, with absence of all three ligamentous attachments of the splenic flexure.

Keywords: acute abdomen, bowel gangrene, coffee-bean sign, splenic flexure volvulus, volvulus
Singapore Med J 2007; 48(3): e87–e89