title: Synchronous volvulus of the sigmoid colon and caecum, a very rare cause of large bowel obstruction.
abstract: Colonic volvulus usually occurs as a single event that can affect various parts of the colon. The usual sites affected being the sigmoid colon (75%) and the caecum (22%). The phenomenon of multiple sites simultaneously undergoing volvulus is an extremely rare occurrence. Synchronous double colonic volvulus is extremely rare and to the best of our knowledge, this is the 4th reported case of simultaneous sigmoid and caecal volvulus in the English literature. The clinical presentation and the radiological findings are that of large bowel obstruction. Classic radiological findings may not be present or may be overlooked due to its rarity. Treatment of this condition is early surgical intervention to prevent the sequalae of a colonic volvulus and its associated mortality. We report a case of an 80-year-old man with synchronous volvulus of the sigmoid colon and caecum.
authors.affiliation: Department of General Surgery, San Fernando General Hospital, San Fernando, Trinidad and Tobago.
authors.forename: Shariful
authors.initials: S
authors.lastname: Islam
authors.affiliation: Department of General Surgery, San Fernando Teaching Hospital, University of the West Indies, San Fernando, Trinidad and Tobago.
authors.forename: Devin
authors.initials: D
authors.lastname: Hosein
authors.affiliation: Department of General Surgery, San Fernando Teaching Hospital, San Fernando, Trinidad and Tobago.
authors.forename: Vinoo
authors.initials: V
authors.lastname: Bheem
authors.affiliation: Department of Clinical Surgical Sciences, University of West Indies, St Augustine, Trinidad, San Fernando, Trinidad and Tobago.
authors.forename: Dilip
authors.initials: D
authors.lastname: Dan
mesh_terms: D000369:Aged, 80 and over; D002429:Cecal Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D003108:Colonic Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology*; D045822:Intestinal Volvulus / Q000150:complications* / Q000000981:diagnostic imaging; D007420:Intestine, Large / Q000000981:diagnostic imaging; D008297:Male; D014057:Tomography, X-Ray Computed