Cover Image

Idiopathic ileal volvulus with multiple concomitant infections in a starving man

Background: Small bowel volvulus is defined as the torsion of the small intestine, potentially leading to bowel obstruction, gangrene and perforation. It is a rare condition, especially in adults. Case presentation: A 30-year-old man was retrieved from the jungle with severe weight loss and abdomina...

Full description

Saved in:
Bibliographic Details
Main Authors: Tan, Lii Jye, Othman, Mohammad Shafie, Hiu, Jessie, Wong, Kum Thong, Lai, Shau Kong
Format: Article
Published: Malaysian Journal of Pathology 2021
Subjects:
R Medicine (General)
Online Access:http://eprints.um.edu.my/27937/
Tags: Add Tag
No Tags, Be the first to tag this record!
id my.um.eprints.27937
record_format eprints
spelling my.um.eprints.279372022-06-16T08:08:44Z http://eprints.um.edu.my/27937/ Idiopathic ileal volvulus with multiple concomitant infections in a starving man Tan, Lii Jye Othman, Mohammad Shafie Hiu, Jessie Wong, Kum Thong Lai, Shau Kong R Medicine (General) Background: Small bowel volvulus is defined as the torsion of the small intestine, potentially leading to bowel obstruction, gangrene and perforation. It is a rare condition, especially in adults. Case presentation: A 30-year-old man was retrieved from the jungle with severe weight loss and abdominal symptoms. He succumbed to death despite 22 days of intensive medical treatment. An autopsy revealed a ruptured gangrenous ileal volvulus with peritonitis and subdiaphragmatic abscess. Further laboratory analysis detected systemic Candida tropicalis and intestinal gram-negative bacterial sepsis, systemic Zika virus viremia, leptospirosis complicating rhabdomyolysis and disseminated intravascular coagulopathy, Type I Herpes Simplex virus infection of the tongue and upper gastrointestinal tract. The cause of death was the ruptured ileal volvulus, complicated with upper gastrointestinal bleeding due to Herpes simplex virus esophagitis in a malnourished patient with resolving leptospirosis and underlying Zika virus co-infection. Conclusion: Rare clinical scenarios of adult-onset intestinal volvulus with concomitant multiple infections precludes clinical diagnosis and early treatment, leading to devastating consequences of clinical outcome. The positive clinical and postmortem correlation is a good learning lesson in many disciplines of medicine and science. Malaysian Journal of Pathology 2021-04 Article PeerReviewed Tan, Lii Jye and Othman, Mohammad Shafie and Hiu, Jessie and Wong, Kum Thong and Lai, Shau Kong (2021) Idiopathic ileal volvulus with multiple concomitant infections in a starving man. Malaysian Journal of Pathology, 43 (1). pp. 81-85. ISSN 0126-8635,
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine (General)
spellingShingle R Medicine (General)
Tan, Lii Jye
Othman, Mohammad Shafie
Hiu, Jessie
Wong, Kum Thong
Lai, Shau Kong
Idiopathic ileal volvulus with multiple concomitant infections in a starving man
description Background: Small bowel volvulus is defined as the torsion of the small intestine, potentially leading to bowel obstruction, gangrene and perforation. It is a rare condition, especially in adults. Case presentation: A 30-year-old man was retrieved from the jungle with severe weight loss and abdominal symptoms. He succumbed to death despite 22 days of intensive medical treatment. An autopsy revealed a ruptured gangrenous ileal volvulus with peritonitis and subdiaphragmatic abscess. Further laboratory analysis detected systemic Candida tropicalis and intestinal gram-negative bacterial sepsis, systemic Zika virus viremia, leptospirosis complicating rhabdomyolysis and disseminated intravascular coagulopathy, Type I Herpes Simplex virus infection of the tongue and upper gastrointestinal tract. The cause of death was the ruptured ileal volvulus, complicated with upper gastrointestinal bleeding due to Herpes simplex virus esophagitis in a malnourished patient with resolving leptospirosis and underlying Zika virus co-infection. Conclusion: Rare clinical scenarios of adult-onset intestinal volvulus with concomitant multiple infections precludes clinical diagnosis and early treatment, leading to devastating consequences of clinical outcome. The positive clinical and postmortem correlation is a good learning lesson in many disciplines of medicine and science.
format Article
author Tan, Lii Jye
Othman, Mohammad Shafie
Hiu, Jessie
Wong, Kum Thong
Lai, Shau Kong
author_facet Tan, Lii Jye
Othman, Mohammad Shafie
Hiu, Jessie
Wong, Kum Thong
Lai, Shau Kong
author_sort Tan, Lii Jye
title Idiopathic ileal volvulus with multiple concomitant infections in a starving man
title_short Idiopathic ileal volvulus with multiple concomitant infections in a starving man
title_full Idiopathic ileal volvulus with multiple concomitant infections in a starving man
title_fullStr Idiopathic ileal volvulus with multiple concomitant infections in a starving man
title_full_unstemmed Idiopathic ileal volvulus with multiple concomitant infections in a starving man
title_sort idiopathic ileal volvulus with multiple concomitant infections in a starving man
publisher Malaysian Journal of Pathology
publishDate 2021
url http://eprints.um.edu.my/27937/
_version_ 1738510679366696960
score 13.211869

Similar Items