Transverse colon volvulus is an uncommon cause of large bowel obstruction. Clinical presentation is not specific and therefore, diagnosis is usually made by radiological investigation. Plain abdominal radiograph resembles sigmoid volvulus, but gastrograsphin enema in non emergency cases will reveal a more proximal obstruction. Therapy consists of urgent surgery, usually with resection of the twisted transverse colon. We present a case with an overview of the literature.
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