AN UNUSUAL CAUSE FOR TRANSVERSE COLON STRICTURE – SEALED OFF PERFORATION: A CASE REPORT

Abstract

Intestinal obstruction secondary to transverse colon stricture is a very rare finding in adults. Transverse colon stricture secondary to perforation is even so rare finding. A fifty-five-year-old male patient presented with chronic abdominal distension. Clinical findings were distended abdomen with distended bowel loops and no tenderness. CECT abdomen suggested sigmoid volvulus. Upper GI endoscopy suggested narrowing at d1, d2 junction and colonoscopy suggested ascending colon stricture. Intra operative we found transverse colon stricture with adhesions to caecum and small bowel loops. Adhesiolysis and resection anastomosis done. Thus even with modern diagnostic modalities intra operative findings can still surprise you, leaving you guessing about the possible etiology at the end.