title: Severe Hypothyroidism-Induced Volvulus.
abstract: Thyroid disorders have been found to be associated with multiple organ systems and thus have a broad spectrum of presenting symptoms and clinical conditions. Certain aspects of the gastrointestinal (GI) system have yet to be fully understood and documented. Hypothyroidism and even hyperthyroidism have been identified in patients with motility symptoms involving the GI tract. These symptoms can vary and can be a complication of undertreated or undiagnosed condition involving the thyroid. Unfortunately, the mechanism in which these hormones can impact intestinal motility remains poorly understood and not well documented. In this case report, we discuss the presentation of a 71-year-old female with poorly managed hypothyroidism presenting with significant abdominal distention and pain secondary to underlying volvulus formation. By better understanding the complications induced by hypothyroidism, physicians may be able to prevent further life-threatening outcomes with early management and intervention.
authors.affiliation: Department of Internal Medicine, Raritan Bay Medical Center, 530 New Brunswick Ave, Perth Amboy, NJ, USA.
authors.forename: Rafay
authors.initials: R
authors.lastname: Khan
authors.affiliation: Department of Internal Medicine, Raritan Bay Medical Center, 530 New Brunswick Ave, Perth Amboy, NJ, USA.
authors.forename: Amar
authors.initials: A
authors.lastname: Ahmed
authors.affiliation: Department of Internal Medicine, Raritan Bay Medical Center, 530 New Brunswick Ave, Perth Amboy, NJ, USA.
authors.forename: Sunil
authors.initials: S
authors.lastname: Tulpule
authors.affiliation: Department of Internal Medicine, Raritan Bay Medical Center, 530 New Brunswick Ave, Perth Amboy, NJ, USA.
authors.forename: Kalyani
authors.initials: K
authors.lastname: Regeti
authors.affiliation: Department of Internal Medicine, Raritan Bay Medical Center, 530 New Brunswick Ave, Perth Amboy, NJ, USA.
authors.forename: Shuvendu
authors.initials: S
authors.lastname: Sen
authors.affiliation: Department of Internal Medicine, Raritan Bay Medical Center, 530 New Brunswick Ave, Perth Amboy, NJ, USA.
authors.forename: Teena
authors.initials: T
authors.lastname: Mathew
keywords: Gastrointestinal; Hypothyroidism; Motility; Thyroid; Volvulus