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She became acutely altered and underwent urgent flexible sigmoidoscopy by gastroenterology to evaluate for ischaemic colitis. During the procedure, there was concern for iatrogenic colon injury given the friability of the colonic mucosa, so the patient was taken urgently for exploratory laparotomy. Intraoperatively, she was found to have a transverse colon volvulus with large areas of patchy, gangrenous bowel without evidence of gross perforation. A rectosigmoid stricture with associated serosal tear, but no full-thickness injury was identified. An extended left hemicolectomy and end transverse colostomy was performed resulting in improvement in the patient\u2019s clinical status and eventual discharge to subacute rehab.<\/jats:p>","DOI":"10.1136\/bcr-2020-239809","type":"journal-article","created":{"date-parts":[[2022,7,29]],"date-time":"2022-07-29T15:38:21Z","timestamp":1659109101000},"page":"e239809","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Rare case of rectosigmoid stricture causing transverse colon volvulus"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1934-6477","authenticated-orcid":false,"given":"Kristen","family":"Westfall","sequence":"first","affiliation":[{"name":"Surgery, St Joseph Mercy Health System, Ypsilanti, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Brown","sequence":"additional","affiliation":[{"name":"Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Chang","sequence":"additional","affiliation":[{"name":"Surgery, St Joseph Mercy Health System, Ypsilanti, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,3,25]]},"reference":[{"key":"2025082707170062000_14.3.e239809.1","doi-asserted-by":"crossref","DOI":"10.1186\/1757-1626-1-174","article-title":"Ischemic volvulus of the transverse colon: a case report and review of literature","volume":"1","author":"Sparks","year":"2008","journal-title":"Cases J"},{"key":"2025082707170062000_14.3.e239809.2","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1016\/j.gie.2016.01.046","article-title":"The use of carbon dioxide in gastrointestinal endoscopy","volume":"83","author":"Lo","year":"2016","journal-title":"Gastrointest Endosc"},{"key":"2025082707170062000_14.3.e239809.3","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/j.carj.2015.01.004","article-title":"Differential diagnosis of colonic strictures: pictorial review with illustrations from computed tomography colonography","volume":"66","author":"Wan","year":"2015","journal-title":"Can Assoc Radiol J"},{"key":"2025082707170062000_14.3.e239809.4","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/j.jviscsurg.2016.03.006","article-title":"Management of the colonic volvulus in 2016","volume":"153","author":"Perrot","year":"2016","journal-title":"J Visc Surg"},{"key":"2025082707170062000_14.3.e239809.5","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1016\/0002-9610(77)90414-7","article-title":"Volvulus of the transverse colon","volume":"134","author":"Eisenstat","year":"1977","journal-title":"Am J Surg"},{"key":"2025082707170062000_14.3.e239809.6","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 Rectum"},{"key":"2025082707170062000_14.3.e239809.7","doi-asserted-by":"crossref","first-page":"1641","DOI":"10.1016\/j.jpedsurg.2015.06.013","article-title":"Transverse colon volvulus in children: a case series and a review of the literature","volume":"50","author":"Waluza","year":"2015","journal-title":"J Pediatr Surg"},{"key":"2025082707170062000_14.3.e239809.8","first-page":"276","article-title":"Chilaiditi syndrome: a rare entity with important differential diagnoses","volume":"8","author":"Moaven","year":"2012","journal-title":"Gastroenterol Hepatol"},{"key":"2025082707170062000_14.3.e239809.9","doi-asserted-by":"crossref","first-page":"914","DOI":"10.4321\/S1130-01082005001200008","article-title":"Intestinal occlusion secondary to transverse colon volvulus","volume":"97","author":"Casamayor Franco","year":"2005","journal-title":"Rev Esp Enferm Dig"},{"key":"2025082707170062000_14.3.e239809.10","doi-asserted-by":"crossref","unstructured":"Ciraldo A , Thomas D , Schmidt S . 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