PMC6606923_01
Erect and supine plain abdominal X-rays.
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Abdominal X-ray (Fig. 1) showed a typically dilated omega shape colon.
Appearance at Laparotomy.
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Under general anesthesia with muscle relaxation a generous midline incision revealed an intact, grossly dilated and apparently gangrenous large bowel that turned out to be the transverse colon (Fig. 2).
Gangrenous transverse colonic segment delivered.
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The twisted gangrenous colon was carefully delivered (Fig. 3).
Resected Transverse Colon.
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The resected colonic segment was 109 cm in length and 22 cm in its maximum diameter (Fig. 4).