Splenic Capsule Injury: A Rare Complication of Sigmoid Volvulus

Sigmoid volvulus can lead to life-threatening complications. We report a splenic capsule avulsion injury requiring laparotomy as complication of sigmoid volvulus. A 73-year-old woman was admitted with abdominal distension, rigidity, and tenderness. CT abdomen revealed hemoperitoneum along possible The patient required an emergent exploratory due acute hemodynamic instability. left colectomy, on-table sigmoidoscopy, hemostasis the spleen, temporary closure were performed. She subsequent operations for end colostomy closure. establish that lacerations are rare but complications Careful assessment spleen on imaging clear visualization during surgery is recommended early recognition prompt management injury.