also described a case of
transverse colon presenting with cholecystitis [5].
In the operating room, an internal hernia with closed loop obstruction was confirmed and resulted from herniation of small bowel through an adhesion of a
transverse colon epiploic appendage to the ascending colon mesentery.
The
transverse colon was congested, distended, cyanotic, and densely adherent to the retroperitoneum in the area of the pancreatic body and tail.
However, the primary source could not be ascertained but was thought to be originating from the
transverse colon. Thickening of the stomach wall was seen, and multiple paraaortic, retroaortic, mesenteric, and inguinal lymph nodes were noted.
A 2.9 x 2.4 x 2.1 cm solid enhancing mass in the distal
transverse colon was appreciated, with a centrally hypodense thick walled exophytic component measuring 4.0 x 3.4 x 3.3 cm (Figure 2).
Thoracic and abdominal MSCT showed Morgagni hernia with right chest 'tumor' consisting of
transverse colon, omentum and a greater part of the stomach (Fig.
In our case, strangulation findings recovered with reduction were observed in the herniated
transverse colon segment.
First you observe an intoxicated colon, maybe also with some inflammation, maybe a spasmodic colon, a ballooned colon, a prolapse of the
transverse colon or sigmoid, maybe diverticulosis, a colitis, or even a very dark intoxicated colon resulting from chronic constipation.
The CT images (Figure 3) showed that the cecum, ascending colon, and
transverse colon were normally located.