Descending Colon Volvulus Treated with Colopexy: An Alternative Option for a High-Risk Patient

Volvulus refers to the twisting of the bowel around its own mesentery that supplies it, causing bowel obstruction.The volvulus usually involves sigmoid colon and caecum.Only 1.3-2.4% of cases involve the descending colon.We hereby report a case of a 71-year-old male presenting with complaints of obstipation, vomiting, abdominal distension, and generalised abdominal pain for six days.CT scan showed a distended descending colon twisted around its mesentery, creating a closed-loop obstruction.He was treated with laparotomy, derotation, and colopexy.Postoperatively, he remained stable.No immediate postoperative complications were noted.The patient was discharged from the hospital on the fifth postoperative day.An appropriate treatment option for colonic volvulus is derotation followed by resection of the colon.Alternatively, a less time-consuming approach, such as colopexy, might be a suitable treatment option for high-risk patients who cannot undergo prolonged anaesthesia.