A 22-year-old male patient with Duchenne muscular dystrophy (DMD) and chronic constipation presents to the emergency room with severe abdominal pain and hive closed to feces and gas. Contrast-enhanced computed tomography of the abdomen demonstrates mechanical ileus due to volvulus of the transverse colon: torsion of the transverse mesocolon is confirmed and subtotaly colectomy is performed, revealing multiple ischemic areas with focal perforations. DMD is frequently associated with gastrointestinal motility disorders, including chronic constipation and life-threatening conditions like intestinal pseudo-obstruction and sigmoid volvulus. To date, transverse colic localization of volvolus represents an unreported condition among patients with DMD.

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

Pitrone, Pietro
Primo
;
Cattafi, Antonino;Carerj, Maria Ludovica;Bellone, Italo Giuseppe;Nirta, Giuseppe;Bonanno, Dora;Trimarchi, Renato;La Face, Alessandro;Marino, Maria Adele;Sofia, Carmelo
Ultimo
2023-01-01

Abstract

A 22-year-old male patient with Duchenne muscular dystrophy (DMD) and chronic constipation presents to the emergency room with severe abdominal pain and hive closed to feces and gas. Contrast-enhanced computed tomography of the abdomen demonstrates mechanical ileus due to volvulus of the transverse colon: torsion of the transverse mesocolon is confirmed and subtotaly colectomy is performed, revealing multiple ischemic areas with focal perforations. DMD is frequently associated with gastrointestinal motility disorders, including chronic constipation and life-threatening conditions like intestinal pseudo-obstruction and sigmoid volvulus. To date, transverse colic localization of volvolus represents an unreported condition among patients with DMD.
2023
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11570/3285633
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