{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T10:07:06Z","timestamp":1779012426825,"version":"3.51.4"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:00:00Z","timestamp":1778544000000},"content-version":"vor","delay-in-days":131,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Synchronous colonic volvulus is an extremely rare and life\u2010threatening cause of large bowel obstruction, characterized by simultaneous torsion of two separate colonic segments. Early diagnosis is challenging due to its nonspecific clinical presentation and overlapping radiological features with isolated volvulus. Delay in recognition increases the risk of ischemia, perforation, sepsis, and mortality, making rapid identification and surgical intervention critical. We present a case of a middle\u2010aged patient who arrived at the emergency department with progressive abdominal pain, distension, constipation, and absence of flatus. Physical examination revealed a markedly distended abdomen with diffuse tenderness, and laboratory tests demonstrated leukocytosis. Abdominal radiographs suggested large bowel obstruction, while contrast\u2010enhanced computed tomography (CECT) demonstrated the characteristic whirl sign at two distinct anatomical sites, consistent with synchronous volvulus of the sigmoid and transverse colon. The patient underwent emergency exploratory laparotomy, which confirmed volvulus of both affected segments with compromised vascularity. Surgical management included resection of the necrotic segments with primary anastomosis. The postoperative course was uneventful, and the patient was discharged in stable condition with scheduled follow\u2010up. This case highlights the importance of maintaining a high index of suspicion in patients presenting with acute large bowel obstruction, particularly when imaging demonstrates atypical or dual transition points. While sigmoid volvulus is the most common form, synchronous involvement of multiple colonic segments is exceedingly uncommon but should be considered to prevent diagnostic delay. Timely surgical intervention remains the cornerstone of management and is paramount in preventing progression to gangrene, peritonitis, and septic shock.<\/jats:p>","DOI":"10.1155\/cris\/5273726","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T09:30:32Z","timestamp":1778578232000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dual\u2010Segment Colonic Volvulus Involving the Sigmoid and Transverse Colon: A Surgical Emergency"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7323-1680","authenticated-orcid":false,"given":"Gourav","family":"Goyal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3964-293X","authenticated-orcid":false,"given":"Jyoti","family":"Meena","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6112-9008","authenticated-orcid":false,"given":"Mansi","family":"Singh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,5,12]]},"reference":[{"key":"e_1_2_12_1_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-013-1019-6"},{"key":"e_1_2_12_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02553326"},{"key":"e_1_2_12_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12262-017-1699-7"},{"key":"e_1_2_12_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znaf149.086"},{"key":"e_1_2_12_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-018-3747-4"},{"key":"e_1_2_12_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2005.035311"},{"key":"e_1_2_12_7_2","first-page":"777","article-title":"CT of Bowel Obstruction: The Whirl Sign","volume":"162","author":"Frager D.","year":"1994","journal-title":"American Journal of Roentgenology"},{"key":"e_1_2_12_8_2","first-page":"832","article-title":"Transverse Colon Volvulus as an Unusual cause of Obstruction","volume":"45","author":"Kuzu M. 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E.","year":"2000","journal-title":"British Journal of Surgery"},{"key":"e_1_2_12_11_2","first-page":"515","article-title":"Endoscopic Detorsion Outcomes in Sigmoid Volvulus","volume":"9","author":"Oren D.","year":"2007","journal-title":"Colorectal Disease"},{"key":"e_1_2_12_12_2","first-page":"252","article-title":"CT Assessment in Volvulus: Role in Emergency Decision Making","volume":"51","author":"Shalaby A.","year":"2018","journal-title":"Clinical Imaging"},{"key":"e_1_2_12_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjy295"},{"key":"e_1_2_12_14_2","article-title":"Synchronous Volvulus of the Transverse and Sigmoid Colon: A Rare Case of Large Bowel Obstruction","volume":"38","author":"Samlali A.","year":"2021","journal-title":"Pan African Medical Journal"},{"key":"e_1_2_12_15_2","doi-asserted-by":"publisher","DOI":"10.4236\/ss.2021.129032"},{"key":"e_1_2_12_16_2","first-page":"105","article-title":"Synchronous Colonic Volvulus: A Case Series and Literature Review","volume":"82","author":"Suleiman B.","year":"2021","journal-title":"International Journal of Surgery Case Reports"},{"key":"e_1_2_12_17_2","first-page":"1104","article-title":"Transverse and Sigmoid Synchronous Volvulus: A Rare Emergency","volume":"46","author":"Tejedor P.","year":"2016","journal-title":"Surgery Today"},{"key":"e_1_2_12_18_2","first-page":"1","article-title":"Dual-Segment Volvulus: Diagnostic and Operative Considerations","volume":"2020","author":"Tiwari A.","year":"2020","journal-title":"Journal of Surgical Case Reports"},{"key":"e_1_2_12_19_2","first-page":"44","article-title":"International Guidelines for Management of Large Bowel Obstruction","volume":"18","author":"World Society of Emergency Surgery (WSES) Guidelines Committee","year":"2023","journal-title":"World Journal of Emergency Surgery"}],"container-title":["Case Reports in Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cris\/5273726","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/cris\/5273726","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cris\/5273726","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T09:30:40Z","timestamp":1779010240000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/cris\/5273726"}},"subtitle":[],"editor":[{"given":"Andee Dzulkarnaen","family":"Zakaria","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/cris\/5273726"],"URL":"https:\/\/doi.org\/10.1155\/cris\/5273726","archive":["Portico"],"relation":{},"ISSN":["2090-6900","2090-6919"],"issn-type":[{"value":"2090-6900","type":"print"},{"value":"2090-6919","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-01-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"5273726"}}