Sigmoid Volvulus: A Rare Complication of Atropine Therapy in a Patient with Organophosphorus Poisoning: A Case Report

Authors

  • Sudhan Devkota Universal College of Medical Sciences, Bhairahawa, Nepal
  • Sanjog Kandel Universal College of Medical Sciences, Bhairahawa, Nepal
  • Bhawana Giri Universal College of Medical Sciences, Bhairahawa, Nepal
  • Niraj Kumar Jaiswal Universal College of Medical Sciences, Bhairahawa, Nepal
  • Pushpa Raj Dhakal Universal College of Medical Sciences, Bhairahawa, Nepal
  • Nabin Pokhrel Universal College of Medical Sciences, Bhairahawa, Nepal
  • Shreeyanshu Parajuli Universal College of Medical Sciences, Bhairahawa, Nepal

DOI:

https://doi.org/10.3126/jucms.v12i01.65661

Keywords:

Organophosphorus poisoning, Atropine therapy, Sigmoid volvulus

Abstract

Various complications of atropine therapy in cases of organophosphorus poisoning have been reported. Among them, atropine induced paralytic ileus is a serious gastrointestinal complication with very few cases published worldwide. The tendency of over atropinization in organophosphorus poisoning despite regular monitoring is common and may develop life threatening complications as well. This necessitates knowledge, thorough examination, and an experienced approach to aid in treatment and complications management. We have discussed a case of organophosphorus poisoning, with symptoms of atropine toxicity and acute abdominal complication treated with surgical approach in our setting.

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Author Biographies

Sudhan Devkota, Universal College of Medical Sciences, Bhairahawa, Nepal

 Department of Internal Medicine

Sanjog Kandel, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Internal Medicine

Bhawana Giri, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Internal Medicine

Niraj Kumar Jaiswal, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Internal Medicine

Pushpa Raj Dhakal, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Internal Medicine

Nabin Pokhrel, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of General Surgery

Shreeyanshu Parajuli, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of General Surgery

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Published

2024-05-15

How to Cite

Sudhan Devkota, Sanjog Kandel, Bhawana Giri, Niraj Kumar Jaiswal, Pushpa Raj Dhakal, Nabin Pokhrel, & Shreeyanshu Parajuli. (2024). Sigmoid Volvulus: A Rare Complication of Atropine Therapy in a Patient with Organophosphorus Poisoning: A Case Report. Journal of Universal College of Medical Sciences, 12(01), 65–68. https://doi.org/10.3126/jucms.v12i01.65661

Issue

Vol. 12 No. 01 (2024): Issue 30

Section

Case Reports

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