Sigmoid volvulus with bowel ischemia secondary to adhesion and helminth

Azmi Ahmad and Lo, Zhen Zhen and Muhammad Yusuf Muharam (2024) Sigmoid volvulus with bowel ischemia secondary to adhesion and helminth. Visual Journal of Emergency Medicine (35). ISSN 2405-4690

Text FULLTEXT.pdf Restricted to Registered users only Download (5MB) | Request a copy

Abstract

Sigmoid volvulus is a life-threatening cause of bowel obstruction. We presented a unique case of sigmoid volvulus leading to bowel ischemia secondary to adhesion and helminth coinfection in a 38-year-old female patient. She had a history of pulmonary tuberculosis and two previous lower-segment caesarean sections and bilateral tubal ligation. She was presented with a month’s history of progressive abdominal distension, followed by acute onset of lower abdominal pain, vomiting, and constipation. Radiological studies revealed a dilated sigmoid colon with features suggestive of volvulus and possible bowel ischemia. She underwent successful laparotomy and anterior resection, covering ileostomy. We highlight the importance of considering bowel obstruction complicated with bowel ischemia in patients presenting with acute abdominal symptoms and histories of previous abdominal surgeries, underscoring the role of timely surgical intervention in preventing fatal outcomes.

Item Type:	Article
Keyword:	Intestinal volvulus, Ischemia, Adhesion, Helminth
Subjects:	R Medicine > RC Internal medicine > RC31-1245 Internal medicine > RC581-951 Specialties of internal medicine > RC799-869 Diseases of the digestive system. Gastroenterology R Medicine > RD Surgery > RD1-811 Surgery > RD520-599.5 Surgery by region, system, or organ
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	JUNAINE JASNI -
Date Deposited:	23 Jul 2025 15:00
Last Modified:	23 Jul 2025 15:00
URI:	https://eprints.ums.edu.my/id/eprint/44614

Actions (login required)

View Item