Left Colic Angle Volvulus Pressing the Spleen: A Case Report from the Yopougon University Hospital (Abidjan, Ivory Coast) European Scientific Journal ESJ

https://www.academia.edu/178533900/Left_Colic_Angle_Volvulus_Pressing_the_Spleen_A_Case_Report_from_the_Yopougon_University_Hospital_Abidjan_Ivory_Coast_?email_work_card=title Colonic volvulus is the torsion of the colon around its mesentery, which generally occurs at the level of the sigmoid colon and the caecum in 60 to 75% and 25 to 40% of cases, respectively. In contrast, volvulus of the splenic flexure is rare, occurring in only 1% of cases. We report a rare case of volvulus of the splenic flexure of the colon involving the spleen. The patient was a 54-year-old man with chronic constipation who had undergone a laparotomy for acute intestinal obstruction 11 years prior. The examination revealed an obstructive syndrome. Further investigation revealed a volvulus of the left colic flexure involving the spleen in its torsion, with necrosis of the splenic flexure but no perforation. We performed a high segmental colectomy with splenic loop and splenopexy. Splenic angle volvulus is a rare cause of colonic obstruction, and its location around the spleen makes it exceptional. Hence, the importance of our study is to improve its management.