PMC8140734_01
plain abdominal X-ray showing dilated colon (a) and air-fluid levels (b)
PAMJ-38-231-g001.jpg
PMC8140734_01_PAMJ-38-231-g001.jpg
F1
An abdominal X-ray revealed a grossly distended large bowel with air-fluid levels (Figure 1).
gross operative view of sigmoid volvulus (arrow a) and transverse colon volvulus (arrow b)
PAMJ-38-231-g002.jpg
PMC8140734_01_PAMJ-38-231-g002.jpg
F2
Intraoperative findings revealed transverse colon volvulus and sigmoid volvulus associated with megacolon (Figure 2).
parietal thinning and pre-perforation area
PAMJ-38-231-g003.jpg
PMC8140734_01_PAMJ-38-231-g003.jpg
F3
Cecum, ascending, transverse colon and sigmoid were intensively distended and both transverse and sigmoid colon were twisted on their vascular pedicles with parietal thinning and some pre-perforation (Figure 3).