Résumé

Objectives: Acute mechanical intestinal obstruction in sub-Saharan Africa is most commonly caused by tumoral colonic obstruction, adhesive strangulation, or isolated volvulus. Double volvulus involving both the pelvic (sigmoid) and transverse colon is extremely rare. This study aims to evaluate the management of double colonic volvulus in our setting. Clinical case: A 65-year-old male patient was admitted to the general surgery unit of the Abéché University Hospital Center in eastern Chad with clinical signs of acute intestinal obstruction. Plain abdominal radiography showed a characteristic double-loop image. Exploratory midline laparotomy revealed a simultaneous volvulus of the pelvic and transverse colon, without evidence of bowel necrosis. A left hemicolectomy was performed. The postoperative course was uncomplicated, and the patient was discharged on postoperative day 14. Conclusion: Double colonic volvulus is a rare surgical emergency with diagnosis most often established intraoperatively. Prompt and appropriate surgical management is essential to ensure favorable outcomes and to preserve the patient’s vital prognosis.

Mot-clés :

Double Volvulus, Sigmoid Colon, Transverse Colon, Hemicolectomy, Abéché University Hospital Center