Undiagnosed hypothyroidism presenting with sigmoid volvulus.

Area of Science:

• Endocrinology
• Gastroenterology
• Surgical Case Report

Background:

• Hypothyroidism is a common endocrine disorder.
• Sigmoid volvulus is a surgical emergency involving colon twisting.
• Myxedema pseudovolvulus, a rare presentation of hypothyroidism, links these conditions.

Observation:

• A male patient in his late thirties presented with abdominal pain.
• CT scan revealed massive colonic dilatation and sigmoid volvulus.
• Surgical exploration confirmed sigmoid volvulus, necessitating segmental resection.

Findings:

• The patient was diagnosed with severe hypothyroidism postoperatively.
• This case highlights a rare association between hypothyroidism and sigmoid volvulus.

Implications:

• Recognizing myxedema pseudovolvulus is crucial for timely diagnosis and treatment of hypothyroidism.
• This case underscores the importance of considering endocrine disorders in gastrointestinal emergencies.
• Further research may elucidate the pathophysiology linking hypothyroidism and bowel motility issues.