Primary splenic flexure volvulus

Abstract

Splenic flexure volvulus is the rarest type of colon volvuli, and very few cases of splenic flexure volvulus have been reported in the literature. Patients usually present with complaints of recurrent obstruction and distention attacks. For the definitive treatment, the volvulus segment should be resected and end-to-end anastomosis should be performed afterwards. We present a 16-year-old patient with primary splenic flexure volvulus and a history of Hirschsprung's disease. After having been treated with several conservative colonoscopic reductions, the patient was electively operated. Since he is the first splenic flexure volvulus case with Hirschsprung's disease in the literature who underwent a successful colonoscopic reduction, this case was found to be noteworthy.