Untying the Knot: Treating Recurrent Sigmoid Volvulus With Intravenous Levothyroxine

Abstract

Effect of thyroid hormone dysfunction on gastrointestinal motility is well established. Apparat from common presentation of diarrhea and constipation in hyperthyroidism and hypothyroidism respectively, some rare presentations are serious and can lead to significant morbidity and even mortality. Sigmoid volvulus is one of them, presenting as a consequence of severe longstanding hypothyroidism. We present a case of relatively young male presenting with sigmoid volvulus and treated with intravenous levothyroxine that resulted in untwisting of the volvulus without surgical intervention and endoscopic de-torsion.




J Med Cases. 2017;8(3):71-72
doi: https://doi.org/10.14740/jmc2750e