{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T22:06:58Z","timestamp":1773871618738,"version":"3.50.1"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>In the USA, the third leading cause of a large bowel obstruction in adults is volvulus with torsion occurring commonly in the sigmoid and the cecum. Transverse colonic volvulus is exceedingly rare and specific involvement of the splenic flexure is even more uncommon. In the present report, we discuss a Veteran octogenarian who presented with a long-standing history of constipation, but then developed an acute abdomen from a large bowel obstruction. At laparotomy, he had a double closed loop obstruction with volvulus of the splenic flexure. The colon at the splenic flexure was ischemic with patchy areas of necrosis, but no perforation. He underwent a subtotal colectomy with an ileostomy. This case illustrates the need for prompt intervention of this unusual entity. Current trends in the incidence, management, morbidity and mortality are discussed.<\/jats:p>","DOI":"10.1093\/jscr\/rjab166","type":"journal-article","created":{"date-parts":[[2021,4,9]],"date-time":"2021-04-09T19:11:28Z","timestamp":1617995488000},"source":"Crossref","is-referenced-by-count":2,"title":["Volvulus of the transverse colon in an octogenarian veteran"],"prefix":"10.1093","volume":"2021","author":[{"given":"Maryanne L","family":"Pickett","sequence":"first","affiliation":[{"name":"VA North Texas Health Care System, Department of Surgery and Radiology, Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann M","family":"Mottershaw","sequence":"additional","affiliation":[{"name":"VA North Texas Health Care System, Department of Surgery and Radiology, Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pramod","family":"Gupta","sequence":"additional","affiliation":[{"name":"VA North Texas Health Care System, Department of Surgery and Radiology, Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Huerta","sequence":"additional","affiliation":[{"name":"VA North Texas Health Care System, Department of Surgery and Radiology, Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,5,10]]},"reference":[{"key":"2021070811413823100_ref1","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1097\/SLA.0b013e31828c88ac","article-title":"Colonic volvulus in the United States: trends, outcomes, and predictors of mortality","volume":"259","author":"Halabi","year":"2014","journal-title":"Ann Surg"},{"key":"2021070811413823100_ref2","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1007\/BF02560280","article-title":"Sigmoid volvulus in a West African population","volume":"28","author":"Schagen van Leeuwen","year":"1985","journal-title":"Dis Colon 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sprue","volume":"24","author":"Glazer","year":"1953","journal-title":"Gastroenterology"},{"key":"2021070811413823100_ref7","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1177\/000313481408000519","article-title":"Outcomes of emergent inguinal hernia repair in veteran octogenarians","volume":"80","author":"Huerta","year":"2014","journal-title":"Am Surg"},{"key":"2021070811413823100_ref8","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1177\/000313481808400662","article-title":"Assessing the veterans affairs surgical quality improvement program risk calculator in cholecystectomy","volume":"84","author":"Imran","year":"2018","journal-title":"Am Surg"},{"key":"2021070811413823100_ref9","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1001\/archsurg.1969.01340140087013","article-title":"Volvulus of the colon","volume":"99","author":"Kerry","year":"1969","journal-title":"Arch Surg"},{"key":"2021070811413823100_ref10","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1016\/S0009-9260(05)83431-2","article-title":"Case report: transverse colon volvulus: unusual appearance on barium enema and review of the literature","volume":"50","author":"Loke","year":"1995","journal-title":"Clin Radiol"},{"key":"2021070811413823100_ref11","first-page":"247","article-title":"Case report: transverse colon volvulus in a patient with Clostridium difficile pseudomembranous colitis","volume":"308","author":"Yaseen","year":"1994","journal-title":"Am J Med Sci"},{"key":"2021070811413823100_ref12","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1007\/BF02586939","article-title":"Volvulus of the transverse colon: report of case and review of the literature","volume":"22","author":"Zinkin","year":"1979","journal-title":"Dis Colon 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