ABSTRACT
BACKGROUND: Transverse colon volvulus is an uncommon cause of intestinal obstruction. It is a surgical emergency that can lead to bowel infarction, peritonitis, and death. CASE PRESENTATION: We report a case of transverse colon volvulus in a 35-year-old Congolese immigrant man who had a rare presentation with features of intestinal obstruction associated with right lung collapse and left mediastinal shift. CONCLUSION: This case is unusual because it presented with respiratory features that mimicked a pneumothorax in addition to features of intestinal obstruction. The use of point-of-care lung ultrasound was helpful in ruling out a pneumothorax, and this could help avoid situations such as unintentional chest drain insertions by other professionals who may encounter a similar case. Because transverse colon volvulus is rare, a high level of suspicion and awareness is required to make an accurate diagnosis.
Subject(s)
Colon, Transverse , Intestinal Obstruction , Intestinal Volvulus , Pneumothorax , Pulmonary Atelectasis , Male , Humans , Adult , Intestinal Volvulus/diagnosis , Intestinal Volvulus/diagnostic imaging , Colon, Transverse/diagnostic imaging , Colon, Transverse/surgery , Pneumothorax/complications , Intestinal Obstruction/diagnostic imaging , Intestinal Obstruction/etiology , Intestinal Obstruction/surgery , Liver , Pulmonary Atelectasis/diagnostic imaging , Pulmonary Atelectasis/etiologyABSTRACT
Helminths are an important cause of worm infestation in low-income countries. The majority spread with soil to skin contact. In unusual patients presenting below 1 year, treatment can be challenging. The disease can be self-limiting; however, treatment is believed to reduce progression to more serious disease. Here, we present a case of a 3-month-old with cutaneous larva migrans.
