{"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":1785598277396,"version":"3.56.0"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"721","license":[{"start":{"date-parts":[[1985,11,1]],"date-time":"1985-11-01T00:00:00Z","timestamp":499651200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1985,11,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>Splenic flexure volvulus is rare, only 22 cases having been reported. Though these usually present with chronic intermittent clinical features we recently encountered a case presenting as acute intestinal obstruction which, on plain abdominal X-rays, had classical features of this condition.<\/jats:p>","DOI":"10.1136\/pgmj.61.721.1007","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T20:58:16Z","timestamp":1230584296000},"page":"1007-1008","source":"Crossref","is-referenced-by-count":3,"title":["Splenic flexure volvulus"],"prefix":"10.1093","volume":"61","author":[{"given":"V","family":"Naraynsingh","sequence":"first","affiliation":[{"name":"Department of Surgery, General Hospital , Port of Spain, Trinidad , West Indies"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G C","family":"Raju","sequence":"additional","affiliation":[{"name":"Department of Surgery, General Hospital , Port of Spain, Trinidad , West Indies"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1985,11,1]]},"reference":[{"key":"ref_1","first-page":"81","article-title":"Volvulus of the splenic flexure of the colon","volume":"71","author":"BUENGER, R.E.","year":"1954","unstructured":"BUENGER, R.E. (1954). Volvulus of the splenic flexure of the colon. American Journal of Roentgenology, Radium Therapy and Nuclear Medicine, 71, 81.","journal-title":"American Journal of Roentgenology, Radium Therapy and Nuclear Medicine"},{"key":"ref_2","first-page":"693","article-title":"Volvulus of the splenic flexure of the colon","volume":"79","author":"NISSAN, S.","year":"1984","unstructured":"NISSAN, S. (1984). Volvulus of the splenic flexure of the colon. American Journal of Gastroenterology, 79, 693.","journal-title":"American Journal of Gastroenterology"},{"key":"ref_3","article-title":"Splenic flexure volvulus: two case reports and review. American presenting feature most patients (68%) have had the diagnosis established by barium enema. Reduction of the volvulus may occur during barium enema","volume-title":"or spontaneously","author":"LANTIERI, R.; TEPLICK, S.K.; LABELL, M.J.","year":"1979","unstructured":"LANTIERI, R., TEPLICK, S.K. & LABELL, M.J. (1979). Splenic flexure volvulus: two case reports and review. American presenting feature most patients (68%) have had the diagnosis established by barium enema. Reduction of the volvulus may occur during barium enema (Buenger, 1954; Wray & Wangensteen, 1971; Lantieri et al., 1979) or spontaneously (Wolf & Guglielmo, 1956). Plain X-rays are less frequently diagnostic. As well demonstrated in our case, these show obstruction at the mid-transverse colon with a grossly dilated splenic flexure loop and no air in the distal colon; these classical features are only likely to be seen in the acutely obstructed volvulus."},{"key":"ref_4","first-page":"463","article-title":"Because of its rarity no specific treatment of choice has been established. Primary resection with colostomy or end-to-end anastomosis will certainly cure the problem and prevent recurrence. However, in the absence of gut gangrene, lesser procedures such as detorsion, adhesiolysis and fixation of the splenic flexure have been employed with success (Goldberg et","volume":"132","author":"Lantieri","year":"1984","unstructured":"Because of its rarity no specific treatment of choice has been established. Primary resection with colostomy or end-to-end anastomosis will certainly cure the problem and prevent recurrence. However, in the absence of gut gangrene, lesser procedures such as detorsion, adhesiolysis and fixation of the splenic flexure have been employed with success (Goldberg et al., 1984; Lantieri et al., 1979). These lesser procedures may be acceptable as the treatment ofchoice since they cause minimal morbidity and, so far, no recurrences have been reported following surgery. Journal of Radiology, 132, 463.","journal-title":"al; These lesser procedures may be acceptable as the treatment ofchoice since they cause minimal morbidity and, so far, no recurrences have been reported following surgery"},{"key":"ref_5","first-page":"741","article-title":"Case of volvulus of the splenic flexure","volume":"23","author":"WOLF, B.S.; GUGLIELMO, J.","year":"1956","unstructured":"WOLF, B.S. & GUGLIELMO, J. (1956). Case of volvulus of the splenic flexure. Journal of the Mount Sinai Hospital, New York, 23, 741.","journal-title":"Journal of the Mount Sinai Hospital, New York"},{"key":"ref_6","first-page":"351","article-title":"Volvulus of the splenic flexure and cecum","volume":"27","author":"WRAY, JR., R.C.; WANGENSTEEN, S.L.","year":"1971","unstructured":"WRAY, R.C. JR. & WANGENSTEEN, S.L. (1971). Volvulus of the splenic flexure and cecum. Surgery, 27, 351.","journal-title":"Surgery"},{"key":"ref_7","first-page":"983","article-title":"Coexistent volvulus of the splenic flexure and cecum","volume":"37","author":"YOUNG, M.P.","year":"1955","unstructured":"YOUNG, M.P. (1955). Coexistent volvulus of the splenic flexure and cecum. Surgery, 37, 983.","journal-title":"Surgery"}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/61\/721\/1007\/50155948\/postgradmedj-61-1007.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/61\/721\/1007\/50155948\/postgradmedj-61-1007.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T13:26:55Z","timestamp":1683206815000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/61\/721\/1007\/7047061"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1985,11,1]]},"references-count":7,"journal-issue":{"issue":"721","published-online":{"date-parts":[[1985,11,1]]},"published-print":{"date-parts":[[1985,11,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.61.721.1007","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1985,11]]},"published":{"date-parts":[[1985,11,1]]}}}