Clinical Report: Sigmoid Volvulus with Incidental Enterobiasis in Young Adult

Overview

This case report details a previously healthy young woman diagnosed with sigmoid volvulus, managed through colonoscopic detorsion and laparoscopic sigmoidectomy. An incidental finding of Enterobius vermicularis was noted during the procedure.

Background

Sigmoid volvulus is a significant cause of large-bowel obstruction, particularly in older adults, but its occurrence in young, healthy individuals is rare. This case highlights the need for awareness of sigmoid volvulus in atypical demographics, as delayed diagnosis can lead to severe complications.

Data Highlights

Key Findings

• Sigmoid volvulus can occur in previously healthy young adults.
• CT imaging is crucial for diagnosing sigmoid volvulus, with the whirl sign being a key indicator.
• Endoscopic detorsion followed by laparoscopic sigmoidectomy is a management strategy for hemodynamically stable patients.
• Incidental findings of Enterobius vermicularis during endoscopy may warrant further investigation.
• Histopathological examination post-surgery revealed ischemic-type changes but viable resection margins.

Clinical Implications

Healthcare professionals should consider sigmoid volvulus in young patients presenting with acute abdominal symptoms.

Conclusion

This case demonstrates a management approach for sigmoid volvulus in a young adult. The incidental finding of enterobiasis requires further exploration.

Related Resources & Content

1. World Journal of Emergency Surgery, 2023 -- WSES consensus guidelines on sigmoid volvulus management
2. CDC -- Clinical Overview of Pinworm infection
3. International Journal of Colorectal Disease -- Paediatric caecal volvulus, a rare presentation of african degenerative leiomyopathy
4. Frontiers in Medicine -- Case Report: A case of intestinal occlusion caused by endometriosis
5. Recurrent Transverse Colon Volvulus Following Sigmoid Resection
6. Frontiers in Surgery — Case Report: Strangulated transverse colon inguinal hernia complicated by cecal perforation in a patient with sclerosing mesenteritis
7. WSES consensus guidelines on sigmoid volvulus management | World Journal of Emergency Surgery | Springer Nature Link
8. Clinical Overview of Pinworm infection | Pinworm Infection | CDC