Sigmoid Volvulus as the Initial Presentation of Chronic Intestinal Schistosomiasis

Ilyas, Ghulam; Alawad, Mouyed; Baqir, Agha Wajdan; Oza, Twisha

doi:10.14309/crj.0000000000000053

Cited by 3 publications

(6 citation statements)

References 3 publications

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“…Sigmoid volvulus has been reported in younger patients with underlying Crohn's disease or chagas disease and in children in association with abnormal colonic motility [8]. Large bowel volvulus due to schistosomiasis is particularly unusual [9][10][11][12]. Up to our knowledge Only four cases were reported as an initial presentation of Schistosomiasis and was not previously diagnosed or suspected before the onset of volvulus [9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

“…Large bowel volvulus due to schistosomiasis is particularly unusual [9][10][11][12]. Up to our knowledge Only four cases were reported as an initial presentation of Schistosomiasis and was not previously diagnosed or suspected before the onset of volvulus [9][10][11][12]. Intestinal schistosomiasis is caused by infection due to S. mansoni, S. japonicum, S. intercalatum, S. mekongi, and occasionally, with S. haematobium-S. bovis hybrids [1].…”

Section: Discussionmentioning

confidence: 99%

“…Intestinal schistosomiasis is caused by infection due to S. mansoni, S. japonicum, S. intercalatum, S. mekongi, and occasionally, with S. haematobium-S. bovis hybrids [1]. Infected individuals usually present with chronic or intermittent abdominal pain, poor appetite, weight loss, diarrhea, and hematochezia [9,11]. To our knowledge, this is the fifth case of sigmoid volvulus incidentally found to have colonic schistosomiasis worldwide.…”

Section: Discussionmentioning

confidence: 99%

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Sigmoid Volvulus as the Initial Presentation of Chronic Intestinal Schistosomiasis Case Report and Literature Review

Althumali¹,

Alosaimi²,

AbuHadi³

2022

AJSCCR

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We report a chronic Intestinal Schistosomiasis which is presented as a Sigmoid Volvulus in a healthy 21-year -old Sudanese male who presented with abdominal pain. Sigmoid Volvulus was diagnosed, and he underwent exploratory laparotomy. Pathological study by microscope revealed a non-necrotizing granulomas with centrally located egg with a lateral spine characteristic of S. mansoni. To our knowledge, this is the fifth reported case worldwide.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Sigmoid Volvulus as the Initial Presentation of Chronic Intestinal Schistosomiasis Case Report and Literature Review

Althumali¹,

Alosaimi²,

AbuHadi³

2022

AJSCCR

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“…Clinical presentation can be subacute progressive or acute fulminant volvulus with intense sudden abdominal pain or vague symptoms as for the subacute form as described by Hinshaw and Carter [10] . Physical signs are non-specific and diagnosis results in high clinical suspicion with complementary imaging studies like radiographs and CT scan [4] , [7] .…”

Section: Discussionmentioning

confidence: 99%

“…Other diagnostic imaging like barium and CT scan was expensive and inaccessible in this low resource Centre. Other differential diagnosis include chronic constipation, hirschsprung disease and schistosomiasis in endemic regions especially schistosomiasis mansoni although rare cause [10] .…”

Section: Discussionmentioning

confidence: 99%

Sigmoid volvulus in an adolescent female: A case report

Kiyaka

Sikakulya

Masereka

et al. 2021

International Journal of Surgery Case Reports

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Introduction and importance Sigmoid volvulus is a rare cause of intestinal obstruction in children and adolescent population. It's considered a disease of the elderly with a widely varying incidence worldwide. It is more common in areas referred to as “volvulus belt” (Middle East, Africa, the Indian subcontinent, Turkey, and South America). Case presentation We report a 16-year-old female who underwent emergency laparotomy for intestinal obstruction. We found a twisted sigmoid volvulus in 360 0 degree clockwise. The sigmoid colon was distended and edematous with no perforation or gangrene. Resection of the redundant colon was performed followed by primary anastomosis. Clinical discussion Sigmoid volvulus remains an uncommon cause of intestinal obstruction among the adolescent age group. A high index of suspicion is necessary to reach a diagnosis and manage accordingly. Delay in diagnosis can lead to complications such as necrosis and perforation of the twisted colon. Conclusion We present a rare cause of intestinal obstruction in a 16-year-old female due to sigmoid volvulus. Early diagnosis and management reduce morbidity and mortality.

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Mesenteric small cell lymphocytic lymphoma presenting as acute intestinal obstruction: A rare case scenario

Singh,

Sharma,

Gupta

et al. 2024

Indian J Case Reports

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Small-cell lymphocytic lymphoma is a rare type of B-cell non-Hodgkin lymphoma. It is known as one of the indolent lymphomas. Moreover, sigmoid volvulus as an initial presentation is extremely uncommon. We encountered a unique case of mesenteric small cell lymphocytic lymphoma that presented with sigmoid volvulus as the initial clinical presentation. A 55-year-old male presented with 7-day history of abdominal pain, abdominal distension for 6 days, and non-passage of stool and flatus with recurrent vomiting for 3 days. Abdominopelvic computed tomography revealed a distended small bowel with volvulus of sigmoid colon with twisting of its mesentery with inter-ileal as well as free peritoneal collections of fluid. A manual untwisting counterclockwise of the volvulus followed by resection and anastomosis at a point where the bowel has apparent normal thickness and color along with excisional biopsy of the enlarged lymph node. Histopathology confirmed the diagnosis of small-cell lymphocytic lymphoma. Mesenteric lymphomas are less likely to present with sigmoid volvulus as the initial clinical presentation due to their extraluminal location and also they are indolent in course. Early diagnosis and its management reduce morbidity and mortality.

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Sigmoid Volvulus as the Initial Presentation of Chronic Intestinal Schistosomiasis

Cited by 3 publications

References 3 publications

Sigmoid Volvulus as the Initial Presentation of Chronic Intestinal Schistosomiasis Case Report and Literature Review

Sigmoid Volvulus as the Initial Presentation of Chronic Intestinal Schistosomiasis Case Report and Literature Review

Sigmoid volvulus in an adolescent female: A case report

Mesenteric small cell lymphocytic lymphoma presenting as acute intestinal obstruction: A rare case scenario

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