title: Primary splenic flexure volvulus.
abstract: Primary splenic flexure volvulus is a rare entity. We report an acute presentation of primary splenic flexure volvulus with gangrene in a 24-year-old man. Radiograph showed a massively-dilated large bowel loop with a coffee-bean sign. At emergency laparotomy, a distended and gangrenous splenic flexure was found, with absence of all three ligamentous attachments of the splenic flexure.
authors.affiliation: Upper GI Surgical Unit, Department of General Surgery Unit 3, Christian Medical College and Hospital, Ida Scudder Road, Vellore 632004, India.
authors.forename: R
authors.initials: R
authors.lastname: Mittal
authors.forename: I
authors.initials: I
authors.lastname: Samarasam
authors.forename: S
authors.initials: S
authors.lastname: Chandran
authors.forename: G
authors.initials: G
authors.lastname: Mathew
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology; D000328:Adult; D044684:Colon, Transverse / Q000601:surgery; D013505:Digestive System Surgical Procedures; D006801:Humans; D045822:Intestinal Volvulus / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D008022:Ligaments / Q000002:abnormalities; D008297:Male; D011859:Radiography