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458, 554, 566, 579, 646, 691, 713, 732, 897, 910, 921, 933, 954, 1014, 1031, 1183], 'of': [4, 7, 18, 33, 49, 52, 63, 69, 80, 106, 109, 113, 121, 134, 155, 170, 173, 182, 239, 276, 299, 337, 384, 388, 405, 410, 417, 436, 452, 479, 503, 513, 555, 567, 575, 595, 598, 610, 618, 636, 652, 673, 692, 706, 745, 789, 794, 811, 820, 834, 851, 868, 898, 928, 939, 944, 952, 961, 968, 979, 986, 1008, 1015, 1024, 1029, 1036, 1041, 1046, 1052, 1054, 1072, 1097, 1145, 1176, 1184, 1194], 'multiple': [5], 'portions': [6], 'the': [8, 15, 19, 36, 53, 95, 114, 122, 135, 146, 153, 168, 174, 183, 243, 252, 403, 415, 418, 450, 473, 492, 504, 514, 518, 526, 529, 531, 536, 540, 544, 556, 568, 608, 640, 653, 679, 682, 686, 693, 707, 746, 786, 802, 808, 812, 818, 826, 832, 838, 854, 860, 872, 893, 899, 908, 919, 936, 945, 956, 999, 1002, 1016, 1021, 1025, 1034, 1037, 1039, 1047, 1050, 1057, 1064, 1069, 1073, 1095, 1123, 1134, 1146, 1185, 1201, 1205, 1215], 'bowel': [9, 83, 185, 286, 385, 474, 711, 775, 839, 1074, 1124, 1136, 1164, 1195], 'is': [10, 24, 31, 127, 164, 186, 217, 233, 248, 613, 624, 696, 701, 738, 750, 781, 801, 825, 992, 1066, 1075, 1091, 1094, 1190], 'an': [11, 25, 75, 128, 273, 357, 987, 1118], 'exceedingly': [12], 'rare': [13, 27, 130, 189, 698, 1192], 'occurrence,': [14], 'sigmoid': [20, 40, 54, 115, 123, 147, 419, 456, 537, 622, 758, 900, 920, 930, 1113, 1150, 1189], 'and': [21, 41, 55, 99, 116, 124, 250, 282, 322, 440, 449, 455, 521, 539, 547, 559, 605, 685, 722, 733, 773, 792, 841, 849, 857, 880, 886, 914, 922, 931, 971, 1001, 1020, 1049, 1111, 1133, 1167, 1188, 1197, 1208, 1214], 'transverse': [22, 42, 56, 117, 125, 136, 454, 545, 557, 683, 694, 730, 909, 932, 946, 1018, 1147, 1186], 'colon': [23, 43, 57, 126, 198, 457, 538, 546, 558, 623, 654, 684, 695, 731, 856, 901, 970, 1019, 1114, 1187], 'extremely': [26, 129, 697, 782], 'clinical': [28, 768, 1206], 'entity.': [29, 131], 'There': [30, 293, 345, 981, 1005], 'paucity': [32], 'information': [34], 'in': [35, 58, 268, 465, 501, 510, 528, 585, 784, 853, 904, 1200], 'literature': [37, 104, 572, 1202], 'regarding': [38], 'volvulus.': [44, 797], 'We': [45, 93], 'report': [46], 'case': [48, 108], 'elderly': [59], 'male': [60], 'with': [61, 77, 89, 102, 272, 370, 381, 400, 421, 428, 488, 577, 591, 602, 755, 959, 1013, 1117, 1158], 'history': [62, 68, 275, 298, 594], 'chronic': [64, 300], 'constipation,': [65, 277, 301, 596], 'without': [66, 335, 361, 477, 496], 'previous': [67], 'digestive': [70, 175, 515, 1177], 'surgery.': [71, 308], 'He': [72, 85, 442], 'presented': [73, 261], 'as': [74, 140, 237, 994, 1082], 'emergency': [76, 149, 255, 265, 271], 'typical': [78], 'features': [79, 238, 927, 1207], 'acute': [81], 'large': [82, 184, 671, 710, 1135], 'obstruction.': [84], 'was': [86, 294, 341, 391, 443, 459, 475, 485, 495, 582, 902, 911, 915, 1105, 1115, 1125, 1152, 1165, 1179], 'successfully': [87], 'managed': [88], 'good': [91], 'outcome.': [92], 'discuss': [94], 'presentation,': [96], 'radiological': [97, 937, 1209], 'diagnosis': [98, 154, 216, 451, 1211], 'surgical': [100, 1216], 'management': [101], 'review': [105], 'this': [107, 426, 962], 'colon.': [118, 1026], 'Synchronous': [119, 180, 565], 'Radiological': [132], 'appearance': [133, 424, 805, 938], 'can': [138, 192, 200, 508, 934, 1218], 'miss': [139], 'it': [141, 204, 223, 232, 507, 700, 716, 829, 991, 1107], 'will': [142], 'be': [143, 193, 201, 976], 'masked': [144, 917], 'by': [145, 639, 666, 718, 807, 864, 882, 918], 'volvulus;': [148], 'exploratory': [150, 1103], 'laparotomy': [151, 1104], 'confirms': [152], 'double': [156, 1030, 1160], 'volvulus.\r\n\r\nKeywords:': [157], 'Volvulus;': [158], 'Transverse': [159], 'colon;': [160, 162, 1148], 'Sigmoid': [161], 'Obstruction\r\n\r\nIntroduction\r\n\r\nVolvulus': [163], 'rotation': [166], 'around': [167, 836], 'axis': [169], 'part': [172, 502, 512, 651, 705], 'tract': [176], 'along': [177], 'its': [178, 213, 471, 630, 661, 664], 'mesentery.': [179, 1121], 'very': [188, 703], 'entity': [190], 'which': [191, 210, 837], 'easily': [194], 'missed': [195], 'clinically.': [196], 'Each': [197], 'segment': [199, 562, 815], 'rotated': [202], 'if': [203], 'has': [205, 1141], 'long': [207, 593, 1110, 1120], 'loose': [208], 'mesentery,': [209, 472], 'narrows': [211], 'at': [212, 414, 425, 817], 'base.': [214], 'The\xa0radiological': [215], 'essentially': [218], 'based': [219], 'on': [220, 445, 470, 573, 892, 955, 1033, 1056], 'computed': [221, 778], 'tomography;': [222], 'allows': [224], 'multiplanar': [225], 'reconstruction': [226, 895], 'that': [227, 581, 943, 1203], 'facilitates': [228], 'definitive': [229], 'diagnose,': [230], 'but': [231, 302, 373, 433, 506], 'difficult': [234], 'to': [235, 262, 343, 525, 629, 634, 643, 660, 712, 831, 878, 949, 975, 1099, 1154, 1220], 'identify': [236], 'one': [240, 953], 'distorts': [242], 'other.': [244], 'The': [245, 570, 621, 645, 690, 765, 798, 866, 926, 965, 1027, 1162, 1174], 'initial': [246], 'treatment': [247, 1028, 1065, 1096], 'decompression': [249], 'correcting': [251], 'torsion': [253, 835], 'through': [254], 'resection': [256, 1090, 1151], 'surgery.\r\n\r\nCase': [257], 'Report\r\n\r\nA': [258], '65-year-old': [259], 'man': [260], 'our': [263, 905], 'hospital': [264], 'department': [266], 'especially': [267, 942], 'general': [269], 'surgery': [270], '8-day': [274], 'progressive': [278], 'abdominal': [279, 307, 328, 397, 771, 1058], 'pain,': [280], 'nausea,': [281], 'vomiting.': [283], 'His': [284, 339], 'last': [285], 'movement': [287], 'had': [288], 'been': [289], '7': [290], 'days': [291], 'ago.': [292], 'past': [296], 'medical': [297], 'no': [303, 347, 374, 434, 1129, 1170], 'psychiatric': [304], 'disease,': [305], 'or': [306, 349, 669, 1084], 'On': [309], 'examination,': [310], 'his': [311], 'vital': [312], 'signs': [313, 336, 478, 769, 862, 1053], 'were:': [314], 'temperature': [315], '37.7°C,': [316], 'pulse': [317], '117/minute,': [318], 'respiratory': [319], 'rate': [320], '26/minute,': [321], 'blood': [323], 'pressure': [324], '90/65': [325], 'mmHg.': [326], 'An': [327, 481], 'examination': [329, 355, 1071], 'revealed': [330, 402, 863], 'hugely': [332], 'distended': [333, 367], 'abdomen': [334, 340], 'peritonitis.': [338], 'tympanic': [342], 'percussion.': [344], 'were': [346, 1128, 1169], 'umbilical': [348], 'groin': [350], 'hernias.': [351], 'A': [352, 395], 'digital': [353], 'rectal': [354, 359], 'demonstrated': [356], 'empty': [358], 'vault': [360], 'intraluminal': [362], 'masses.': [363], 'Abdominal': [364], 'X-ray': [365], 'showed': [366], 'colonic': [368, 407, 561, 578, 753, 796, 814, 996], 'loops': [369, 383, 840], 'air-fluid': [371], 'levels': [372], 'observable': [375], 'distal': [376, 855], 'gas,': [377], 'Chilaiditi': [379, 1009], 'sign': [380, 435, 800, 824], 'dilated': [382, 923], 'causing': [386], 'elevation': [387], 'both': [389], 'hemidiaphragms': [390], 'associated': [392, 1012, 1119, 1157], '(Figure': [393, 462, 736], '1).': [394], 'complete': [396], 'CT': [398], 'scan': [399, 879], 'contrast': [401], 'presence': [404, 609, 867, 967, 1040, 1051], 'significant': [406, 615, 977], 'distension': [408], 'upstream': [409], 'calibre': [412], 'disparity': [413], 'level': [416], 'colon,': [420, 505, 681, 947], 'spiral': [423], 'level,': [427], 'diffuse': [429], 'colic': [430], 'parietal': [431, 884], 'thinning,': [432], 'ischemia': [437], '(Figures': [438], '2': [439], '3).': [441], 'operated': [444], 'urgently': [446], 'after': [447], 'conditioning': [448], 'done': [460], 'intraoperatively': [461], '4).': [463], 'Rotated': [464], '360°': [467], 'clockwise': [468], 'direction': [469], 'intact': [476], 'ischemia.': [480], 'extended': [482], 'left': [483], 'hemicolectomy': [484], 'carried': [486, 1180], 'out': [487, 1181], 'end-to-side': [489], 'ileocolic': [490], 'anastomoses': [491], 'postoperative': [493], 'course': [494], 'anomaly.\r\n\r\nDiscussion\r\n\r\nVolvulus': [497], 'most': [498, 532, 625, 766], 'commonly': [499], 'occurs': [500], 'occur': [509], 'any': [511], 'tract,': [516], 'including': [517], 'stomach,': [519], 'gallbladder,': [520], 'small': [522, 1163], 'intestine.': [523, 925], 'According': [524], 'data': [527], 'literature,': [530], 'common': [533, 584, 767], 'sites': [534], 'are:': [535], 'cecum': [541, 641], 'more': [542, 583], 'rarely': [543, 747], 'splenic': [548, 687, 726, 1022], 'flexion': [549, 688], '[1,2].': [550], 'Cases': [551], 'involving': [552], 'simultaneous': [553], 'another': [560, 822], 'are': [563, 770, 844, 859, 876, 973, 982, 1006], 'rare,': [564], 'sigmoid\xa0and\xa0transverse\xa0colon\xa0is\xa0an\xa0extremely\xa0rare\xa0entity.': [569], 'published': [571], 'epidemiology': [574], 'patients': [576, 601], 'reveal': [580], 'older': [586], 'adult': [587], 'males': [588], '(>70': [589], 'years),': [590], 'people': [597], 'African': [599], 'descent,': [600], 'diabetes': [603], 'mellitus': [604], 'neuropsychiatric': [606], 'disorders,': [607], 'megacolon': [612], 'predictor': [616], 'factor': [617], 'recurrence': [619], '[3].': [620], 'often': [626], 'twisted': [627, 813], 'due': [628, 659, 948], 'anatomical': [631], 'constitution': [632], '(60%': [633], '80%': [635], 'cases),': [637], 'followed': [638], '20%': [642], '40%.': [644], 'may': [647], 'interest': [648], 'fixed': [650, 725], 'which,': [655], 'theoretically,': [656], 'cannot': [657], 'move': [658], 'retroperitoneal': [662], 'location,': [663], 'fixation': [665], 'various': [667], 'ligaments': [668], 'base': [672], 'mesenteric': [674, 842], 'attachment.': [675], 'These': [676], 'segments': [677], 'include': [678], 'right': [680, 1003], '[3,4].': [689], 'because': [699], 'resistive': [704], 'intra': [708, 762], 'peritoneal': [709], 'formation,': [714], 'anatomically': [715], 'held': [717], 'short': [720], 'mesocolon': [721], 'firmly': [724], 'flexure.': [727], 'Association': [728], 'between': [729, 998], 'Chilaiditi’s': [734, 989], 'syndrome': [735, 1010], '3)': [737], 'also': [739, 983], 'well': [741], 'reported': [742, 748, 974], 'problem.': [743], 'One': [744], 'complications': [749, 793, 869], 'formed': [752], 'knot': [754], 'concurrent': [757], 'volvulus,': [759], 'only': [760], 'identified': [761], 'operatively': [763], '[1].': [764], 'distention': [772], 'hypoactive': [774], 'sounds.': [776], 'Currently,': [777], 'tomography': [779], '(CT)': [780], 'useful': [783], 'detecting': [785], 'site,': [787], 'degree': [788], 'torsion,': [790], 'causes': [791], 'main': [799], 'bird’s': [803], 'beak': [804], 'created': [806], 'two': [809], 'limbs': [810], 'joining': [816], 'point': [819, 833], 'torsion;': [821], 'pathognomonic': [823], 'whirl': [827], 'sign,': [828], 'corresponding': [830], 'vessels': [843], 'wrapped.': [845], 'Dilated': [846], 'proximal': [847, 924], 'intestine': [848], 'absence': [850], 'air': [852], 'rectum': [858], 'indirect': [861], 'CT.': [865], 'completely': [870], 'changes': [871], 'therapeutic': [873], 'management,': [874], 'they': [875], 'sought': [877], 'represented': [881], 'thinning': [885], 'pneumatosis.': [887], 'Typical': [888], '‘‘coffee': [889], 'bean’’': [890], 'image': [891], 'frontal': [894], 'confirming': [896], 'apparent': [903], 'case.': [906], 'However,': [907], 'not': [912], 'evident': [913], 'probably': [916], 'mask': [935], 'each': [940], 'other': [941, 957], 'mass': [950], 'effect': [951], 'coupled': [958], 'rarity': [960], 'condition': [963], '[4].': [964], 'concomitant': [966, 1042], 'mega': [969], 'megarectum': [972], 'predictors': [978], 'recurrence.': [980, 1101], 'reports,': [984], 'however,': [985], 'association': [988], 'syndrome;': [990], 'defined': [993], 'interposition': [997], 'liver': [1000], 'hemidiaphragm.': [1004], 'reports': [1007, 1199], 'being': [1011], 'caecum,': [1017], 'flexure': [1023], 'depends': [1032], 'viability': [1035], 'bowel,': [1038, 1063, 1089], 'pathologies,': [1043], 'haemodynamic': [1044], 'stability': [1045], 'patient': [1048, 1140], 'gravity': [1055], 'scan.': [1059], 'For': [1060, 1087], 'viable': [1062], 'usually': [1067], 'controversial;': [1068], 'intraoperative': [1070], 'necessary': [1076], 'looking': [1077], 'for': [1078], 'coexisting': [1079], 'pathologies': [1080], 'such': [1081], 'carcinoma': [1083], 'megacolon.': [1086], 'necrotic': [1088], 'mandatory.': [1092], 'Resection': [1093], 'choice': [1098], 'prevent': [1100, 1155], 'Emergency': [1102], 'carried;': [1106], 'confirmed': [1108], 'redundant': [1112], 'noted': [1116], 'Although': [1122], 'dilated,': [1126], 'there': [1127, 1168], 'serosal': [1130], 'tears': [1131], 'appreciated': [1132], 'appeared': [1137], 'viable.': [1138], 'Our': [1139], 'benefited': [1142], 'from': [1143], 'untwisting': [1144], 'performed,': [1153], 'recurrence,': [1156], 'stoma.': [1161], 'collapsed': [1166], 'gross': [1171], 'abnormalities': [1172], 'noted.': [1173], 'restauration': [1175], 'continuity': [1178], 'later.\r\n\r\nConclusion\r\n\r\nSynchronous': [1182], 'cause': [1193], 'obstruction': [1196], 'despite': [1198], 'describe': [1204], 'appearances,': [1210], 'remains': [1212], 'difficult,': [1213], 'intervention': [1217], 'work': [1219], 'reduce': [1221], 'complications.': [1222]}, 'cited_by_api_url': 'https://api.openalex.org/works?filter=cites:W3201041354', 'counts_by_year': [{'year': 2024, 'cited_by_count': 1}], 'updated_date': '2025-01-12T07:11:03.595856', 'created_date': '2021-09-27'}