case_images: PMC9949558_01
case_images: X-ray abdomen (erect view) showing air-fluid level (white arrow) and herniated and obstructed bowel loop (yellow arrow).
case_images: cureus-0015-00000034151-i01.jpg
case_images: PMC9949558_01_cureus-0015-00000034151-i01.jpg
case_images: FIG1
case_images: There was no air under the diaphragm (Figure 1).
case_images: Computed tomography (axial view) showing (A) previous drain site (yellow arrow), grossly dilated right colon (white arrow), volvulus of the herniated transverse colon (blue arrow), (B) a grossly dilated segment of the transverse colon (white arrow) and grossly dilated right colon (yellow arrow).
case_images: cureus-0015-00000034151-i02.jpg
case_images: PMC9949558_01_cureus-0015-00000034151-i02.jpg
case_images: FIG2
case_images: Contrast-enhanced CT abdomen showed herniation of the transverse colon through a defect in the right lateral abdominal wall with features of obstruction (Figures 2A, 2B).
case_images: Computed tomography (coronal view) showing grossly dilated right colon (red arrow), the ileocecal junction (blue arrow), and herniated transverse colon volvulus at the previous drain site (yellow arrows).
case_images: cureus-0015-00000034151-i03.jpg
case_images: PMC9949558_01_cureus-0015-00000034151-i03.jpg
case_images: FIG3
case_images: There was no evidence of bowel gangrene in herniated bowel (Figure 3).
case_images: Intraoperative image showing (A) volvulus (white arrow-360-degree rotated) of the transverse colon (yellow arrow) and (B) derotated (yellow arrow) transverse colon (white arrow).
case_images: cureus-0015-00000034151-i04.jpg
case_images: PMC9949558_01_cureus-0015-00000034151-i04.jpg
case_images: FIG4
case_images: The transverse colon was derotated and pushed back into the abdomen (Figures 4A, 4B).