A Case of Transverse Colon Tumor Presenting as Acute Bowel Obstruction: Surgical Management and Postoperative Challenges

We present the case of a 61-year-old woman with no prior medical history who was admitted for acute bowel obstruction. Imaging studies revealed a tumor in the transverse colon causing the obstruction. Initially, a caecostomy was performed to relieve the obstruction and stabilize the patient. However, the postoperative period was complicated by a significant prolapse of the stoma, leading to discomfort and functional issues. This complication necessitated a second surgical intervention, during which an extended right colectomy, including the transverse colon, was performed, followed by an ileocolic anastomosis to restore bowel continuity. This case underscores the importance of selecting the optimal surgical strategy for malignant colonic obstructions and highlights the need for vigilance in managing potential postoperative complications.