Spontaneous transverse colon volvulus in a patient with Duchenne muscular dystrophy: An unreported complication

A 22-year-old male patient having Duchenne muscular dystrophy (DMD) and chronic constipation referred to the emergency department of our hospital for severe abdominal pain and signs of bowel obstruction. Contrast-enhanced computed tomography of the abdomen demonstrated mechanical ileus due to a volv...

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Bibliographic Details
Published in:Radiology case reports 2023-06, Vol.18 (6), p.2318-2322
Main Authors: Pitrone, Pietro, Cattafi, Antonino, Magnani, Francesca, Carerj, Maria Ludovica, Bellone, Italo Giuseppe, Nirta, Giuseppe, Monsù, Enrico, Bonanno, Dora, Trimarchi, Renato, La Face, Alessandro, Marino, Maria Adele, Sofia, Carmelo
Format: Article
Language:English
Subjects:
Chronic constipation
Duchenne muscular dystrophy
Gastrointestinal
Transverse colon volvulus
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Summary:A 22-year-old male patient having Duchenne muscular dystrophy (DMD) and chronic constipation referred to the emergency department of our hospital for severe abdominal pain and signs of bowel obstruction. Contrast-enhanced computed tomography of the abdomen demonstrated mechanical ileus due to a volvulus of the transverse colon. Torsion of the transverse mesocolon and multiple ischemic areas with focal intestinal wall perforations were confirmed during surgical exploration and a subtotal colectomy was performed. DMD is frequently associated to gastrointestinal motility disorders, including chronic constipation, and life-threatening conditions like intestinal pseudo-obstruction and sigmoid volvulus. To date to our knowledge, transverse colon volvulus represents an unreported condition among patients with DMD.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2023.03.027