Tai, "Adenocarcinoma of the
transverse colon manifested as acute cholecystitis," American Journal of Emergency Medicine, vol.
While this case mimicked a pericecal internal hernia, operative findings were consistent with herniation of small bowel through an adhesion of a
transverse colon epiploic appendage to ascending colon mesentery.
On macroscopic examination, a 5.5 cm constricted area was identified in the
transverse colon with associated serosal puckering.
The patient underwent exploratory laparotomy through a midline incision in an elliptical fashion to include the affected abdominal wall part with the specimen; upon exploration, a malignant-looking mass was found to be adherent to the greater curvature of the stomach and the
transverse colon. An extended right hemicolectomy with primary ileocolic anastomosis along with omentectomy, partial gastrectomy, and complete en bloc resection of the abdominal wall including the abscess area was performed (Figure 3).
In summary, we have described a case of a duplication cyst in the
transverse colon presenting with acute abdominal pain.
The stomach,
transverse colon, large omentum and 30 cm of small intestine were found in hernia sac (Fig.
Often we observe the presence of Radii Solaris or radical furrows coming up from the
transverse colon and going through the brain area especially on the hypothalamus zone.
In a case series of 58 patients with EA, 48% of cases occurred in the sigmoid colon, 28% in the descending colon, 7% in the
transverse colon, and 17% in the ascending colon (6).
Right colon was defined as cecum, ascending colon, hepatic flexure, and
transverse colon. Left colon was defined as splenic flexure, descending colon, and rectosigmoid colon.
In two of these cases, the heterotopic tissues were found in the large bowel and manifested as a diverticulum of the
transverse colon in the first case [20] and an ulcerated mass at the splenic flexure that caused a lower gastrointestinal bleed in the second case [21].
Most frequently, it was located in the rectum (57.2% of all patients), followed by the descending colon (28.4%), the
transverse colon (9.8%), and the ascending colon (4.1%) (Figure 2).