n South African Gastroenterology Review - A twist in the tale - case report

Volume 17 Number 2
  • ISSN : 1812-1659


A young male presented with worsening abdominal distension and pain. Initial investigations were inconclusive, and an urgent colonoscopy revealed an active colitis, presumed to be due to methamphetamine induced mesenteric ischaemia. With no significant clinical improvement, an urgent CT scan indicated pneumatosis coli and evidence of large bowel obstruction and led to an emergency exploratory laparotomy where a right hemicolectomy was performed for an ileo-caecal volvulus. Despite a delay in diagnosis, the patient recovered to live to fight another day.

Loading full text...

Full text loading...


Article metrics loading...


This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error