Primary splenic flexure volvulus

Singapore Med J. 2007 Mar;48(3):e87-9.


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.

Publication types

  • Case Reports

MeSH terms

  • Abdomen, Acute / etiology
  • Adult
  • Colon, Transverse* / surgery
  • Digestive System Surgical Procedures
  • Humans
  • Intestinal Volvulus / complications
  • Intestinal Volvulus / diagnosis*
  • Intestinal Volvulus / diagnostic imaging
  • Intestinal Volvulus / surgery
  • Ligaments / abnormalities
  • Male
  • Radiography