{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T15:31:17Z","timestamp":1785598277787,"version":"3.56.0"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,1,4]]},"abstract":"<jats:p>Colonic volvulus involving the caecum and splenic flexure of the colon is an extremely rare surgical entity and, as a result, it is rarely entertained as a differential diagnosis for large bowel obstruction. The most common site of volvulus is located at the sigmoid colon (75%) followed by caecum (22%). Rare sites of colonic volvulus include the transverse colon (about 2%) and splenic flexure (1\u20132%). Synchronous double colonic volvulus is very rare. The presentation of this condition can be similar to the signs and symptoms of large bowel obstruction. CT imaging of the abdomen can be diagnostic; however, the diagnosis is often missed due to the rarity of this condition\u2014in such cases, it can only be made at laparotomy. Management of this condition should be expedited to prevent a fatal outcome. We present the case of a 56-year-old woman with synchronous volvulus of the caecum and splenic flexure of the colon.<\/jats:p>","DOI":"10.1136\/bcr-2015-213029","type":"journal-article","created":{"date-parts":[[2016,2,15]],"date-time":"2016-02-15T01:58:25Z","timestamp":1455501505000},"page":"bcr2015213029","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Synchronic volvulus of splenic flexure and caecum: a very rare cause of large bowel obstruction"],"prefix":"10.1136","volume":"2016","author":[{"given":"Shariful","family":"Islam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devin","family":"Hosein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Harnarayan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijay","family":"Naraynsingh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,1,18]]},"reference":[{"key":"2025042702270801000_2016.jan18_1.bcr2015213029.1","doi-asserted-by":"publisher","DOI":"10.1159\/000171220"},{"key":"2025042702270801000_2016.jan18_1.bcr2015213029.2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198507000-00014"},{"key":"2025042702270801000_2016.jan18_1.bcr2015213029.3","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/S0016-5085(53)80002-8","article-title":"Volvulus of the colon: a complication of sprue","volume":"24","author":"Glazer","year":"1953","journal-title":"Gastroenterology"},{"key":"2025042702270801000_2016.jan18_1.bcr2015213029.4","doi-asserted-by":"crossref","first-page":"pii: bcr1020103464","DOI":"10.1136\/bcr.10.2010.3464","article-title":"An interesting rare case of double volvulus","volume":"2011","author":"Chittal","year":"2011","journal-title":"BMJ Case Rep"},{"key":"2025042702270801000_2016.jan18_1.bcr2015213029.5","first-page":"324","article-title":"Simultaneous volvulus of the transverse and sigmoid colon: case report","volume":"33","author":"Lianos","year":"2012","journal-title":"G Chir"},{"key":"2025042702270801000_2016.jan18_1.bcr2015213029.6","doi-asserted-by":"crossref","first-page":"e62","DOI":"10.1308\/003588412X13171221500781","article-title":"A case of triple volvulus","volume":"94","author":"Elsharif","year":"2012","journal-title":"Ann R Coll Surg Engl"},{"key":"2025042702270801000_2016.jan18_1.bcr2015213029.7","first-page":"87","article-title":"Primary splenic flexure volvulus","volume":"48","author":"Mittal","year":"2007","journal-title":"Singapore Med J"},{"key":"2025042702270801000_2016.jan18_1.bcr2015213029.8","first-page":"329","article-title":"Recurrence of sigmoid volvulus after surgical intervention","volume":"60","author":"Morrissey","year":"1994","journal-title":"Am Surg"},{"key":"2025042702270801000_2016.jan18_1.bcr2015213029.9","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1999.01034.x"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-213029","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T09:27:18Z","timestamp":1745746038000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-213029"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,1,18]]},"references-count":9,"alternative-id":["10.1136\/bcr-2015-213029"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-213029","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,1,18]]}}}