also described a case of transverse colon
presenting with cholecystitis .
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.
Complications are rare in Chilaiditi syndrome and include volvulus of the cecum, splenic flexure, or transverse colon
and perforation of cecum, or subdiaphragmatic appendix.
The midgut begins caudal to the liver bud and extends to the junction of the right two-thirds and left third of the transverse colon
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
The colonic loop was distended, especially in the area of the transverse colon
, with a lumen up to 5 cm in width.
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.