Sigmoid volvulus: a rare but unique complication of enteric fever

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Sigmoid volvulus: a rare but unique complication of enteric fever


JournalJournal of Community Hospital Internal Medicine Perspectives
Publication date – Feb – 2020
Authors – Muhammad Sohaib Asghar, Abubakar Tauseef, Hiba Shariq, Maryam Zafar, Rumael Jawed, Uzma Rasheed, Mustafa Dawood, Haris Alvi, Saad Aslam & Marium Tauseef
KeywordsVolvulus; enteric; mesentery; obstruction; perforation; twisting
Open access – Yes
SpecialityGeneral surgery
World region South-eastern Asia
Country: Pakistan
Language – English
Submitted to the One Surgery Index on May 29, 2020 at 7:14 am
Abstract:

We present a case of sigmoid volvulus in a young male patient with culture-proven Salmonella Typhi in the blood which was sensitive to Meropenem and Azithromycin only, presented with fever, vomiting, loose stools, hematochezia, abdominal distention and tenderness with no signs of perforation on erect chest x-ray. Further, radiological imaging showed signs of sigmoid volvulus. An urgent colonic decompression with untwisting of the mesentery was performed. In our case, it can be said that sigmoid volvulus was developed as a complication of multiple drug-resistant strains of Salmonella Typhi. The resistance is acquired by alteration in the genome sequence. Currently, it is important to control such an unknown outbreak of multiple drug-resistant strains of Salmonella Typhi as it is a serious health care issue of disease control and prevention in Pakistan.

OSI Number – 20417
PMID – 32128058

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