Sigmoid Volvulus In Hypothyroidism - A Rare Complication
Abstract
Hypothyroidism is a common endocrine disorder. Gastro - Intestinal manifestations of hypothyroidism include decreased intestinal motility ranging from mild obstipation to paralytic ileus and intestinal pseudo-obstruction. Sigmoid volvulus is a rare complication of hypothyroidism and is a surgical emergency requiring acute intervention. A 66 year old man presented with chief complaints of abdominal pain, distension, obstipation for 3 days, increased urine output and increasing breathlessness for 2 days. He was a known case of hypothyroidism on 100 micrograms of oral Levothyroxine for past 13 years. His abdomen was Distended, Umbilicus flushed with surface and Bowel sounds were increased. He was diagnosed as a case of Hypothyroidism with Sigmoid Volvulus and underwent emergency resection and Hartmann’s colostomy. This case report highlights this rare complication hypothyroidoism which could present as surgical emergency.
Key Words: Hypothyroidism , Sub- acute intestinal obstruction, Pseudo obstruction, Sigmoid Megacolon.
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Henry Zelada, Miluska Huachin, Jaime Villena. Sigmoid Volvulus in Myxedema Megacolon. AACE Clinical Case Reports 2017;3(2):e144-147.
Arman Mushtaq, Hiyam Bakhit, Shuvendu Sen. Untying the Knot: Treating Recurrent Sigmoid Volvulus with Intravenous Levothyroxine. J Med Cases. 2017;8(3):71-72.
Anand T Talikoti, Shrirang Rao, M Ravi, H Priyamargavi. A case of subacute intestinal obstruction with overt hypothyroidism in stupor scheduled for emergency laparotomy. Indian Journal of Anaesthesia 2014; 58(3): 347-349.
Qari F. Hypothyroidism in Clinical Practice. J Family Med Prim Care 2014;3:98–101.
Sanjeet Bagcchi. Diabetes-Endocrinology. The Lancet 2014;2
Unnikrishnan AG,Menon UV. Thyroid disorders in India: An epidemiological perspective. Indian J Endocrinol Metab. 2011 Jul; 15(Suppl2): S78–S81.
Mehmet Aziret, Figen Datlı Ozer, Funda Ozturk, Ali Cihat Yıldırım, Yavuz Dașdemir. Acute Abdomen in a Patient with Overt Hypothyroidism: A Case Report. Kafkas J Med Sci 2015; 5(1):36–40.
Vadim Meytes1, Steven P. Schulberg, Nicholas Morin, Galina Glinik. Undiagnosed hypothyroidism presenting with sigmoid volvulus. Journal of Surgical Case Reports, 2016, 1–3.
Yaylali O, Kirac S, Yilmaz M et al. Does hypothyroidism affect gastrointestinal motility? Gastroenterol Res Pract 2009; Article ID 529802, 7 pages doi:10 1155/2009/529802.
Selcuk Atamanalp. Sigmoid Volvulus. EAJM 2010; 42: 142-7.
Tomoya Iida, Suguru Nakagaki, Shuji Satoh, Haruo Shimizu. Clinical outcomes of sigmoid colon volvulus: identification of the factors associated with successful endoscopic detorsion. Intest Res 2017;15(2):215-220.
Ciobanu L, Dumitrascu DL. Gastrointestinal motility disorders in endocrine diseases. Pol Arch Med Wewn 2011;121:129–36.
Sulaiman Ali, Saadeldin A Idris, Mohammed Shalayel. Case of sigmoid volvulus associated with hypothyroidism. Sudan Medical Monitor 2006;1(2): 61-62.
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