{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T18:31:18Z","timestamp":1788201078801,"version":"build-2803163510"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A 76-year-old man with paraplegia and neurogenic bowel dysfunction presented with progressive abdominal distension and altered bowel habits. Contrast-enhanced computed tomography demonstrated sigmoid volvulus and an incidental 5\u2009\u00d7\u20094\u00a0cm ileocaecal mass. After endoscopic detorsion, multidisciplinary review recommended definitive resection during the same admission. He underwent right hemicolectomy with ileocolic anastomosis and sigmoidectomy with colorectal anastomosis. Histopathology confirmed moderately differentiated caecal adenocarcinoma (pT3N1a, R0). The postoperative course was complicated by aspiration pneumonitis and femoral deep venous thrombosis, both managed successfully. This case illustrates that neurogenic bowel dysfunction may mask coexistent colorectal malignancy, and that unexplained microcytic anaemia in a patient presenting with volvulus warrants comprehensive colonic evaluation. Perioperative management in this population requires multidisciplinary input to address the elevated risks of cardiopulmonary and thromboembolic complications.<\/jats:p>","DOI":"10.1093\/jscr\/rjag761","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T11:43:55Z","timestamp":1787312635000},"source":"Crossref","is-referenced-by-count":0,"title":["Concurrent sigmoid volvulus and caecal adenocarcinoma in a paraplegic patient with neurogenic bowel: a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Nakul","family":"Ganju","sequence":"first","affiliation":[{"name":"Department of Surgery, Howard University Hospital , 2041 Georgia Avenue NW, Washington, DC 20060 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alvin","family":"Billey","sequence":"additional","affiliation":[{"name":"Department of Surgery, Howard University Hospital , 2041 Georgia Avenue NW, Washington, DC 20060 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Carlos","family":"Santiago-Gonzalez","sequence":"additional","affiliation":[{"name":"Department of Surgery, Howard University Hospital , 2041 Georgia Avenue NW, Washington, DC 20060 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angesom","family":"Kibreab","sequence":"additional","affiliation":[{"name":"Department of Surgery, Howard University Hospital , 2041 Georgia Avenue NW, Washington, DC 20060 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"2026083113514304100_ref1","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1016\/j.gie.2019.09.007","article-title":"American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the management of acute colonic pseudo-obstruction and colonic volvulus","volume":"91","author":"Naveed","year":"2020","journal-title":"Gastrointest Endosc"},{"key":"2026083113514304100_ref2","doi-asserted-by":"publisher","first-page":"1046","DOI":"10.1097\/DCR.0000000000002159","article-title":"The American Society of Colon and Rectal Surgeons clinical practice guidelines for the management of colonic volvulus and acute colonic pseudo-obstruction","volume":"64","author":"Alavi","year":"2021","journal-title":"Dis Colon Rectum"},{"key":"2026083113514304100_ref3","doi-asserted-by":"publisher","first-page":"673","DOI":"10.1007\/s00384-015-2159-0","article-title":"Sigmoid volvulus is associated with decreased enteric plexuses and ganglion cells","volume":"30","author":"Fujiya","year":"2015","journal-title":"Int J Color Dis"},{"key":"2026083113514304100_ref4","doi-asserted-by":"publisher","first-page":"444","DOI":"10.1097\/DCR.0b013e3182404b3d","article-title":"Colonic volvulus: presentation and management in metropolitan Minnesota","volume":"55","author":"Swenson","year":"2012","journal-title":"Dis Colon Rectum"},{"key":"2026083113514304100_ref5","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1097\/SLA.0b013e31828c88ac","article-title":"Colonic volvulus in the United States: trends, outcomes, and predictors of mortality","volume":"259","author":"Halabi","year":"2014","journal-title":"Ann Surg"},{"key":"2026083113514304100_ref6","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1111\/ans.18671","article-title":"Outcomes for sigmoid volvulus managed with and without early definitive surgery","volume":"94","author":"Satheakeerthy","year":"2024","journal-title":"ANZ J Surg"},{"key":"2026083113514304100_ref7","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1016\/j.jss.2023.12.054","article-title":"To resect or not to resect: a nationwide comparison of management of sigmoid volvulus","volume":"297","author":"Rafaqat","year":"2024","journal-title":"J Surg Res"},{"key":"2026083113514304100_ref8","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1016\/j.amjsurg.2024.01.007","article-title":"Patience is key: association of surgical timing with clinical outcomes in elderly patients with sigmoid volvulus","volume":"232","author":"Arnold","year":"2024","journal-title":"Am J Surg"},{"key":"2026083113514304100_ref9","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1177\/000313481207800331","article-title":"The twisted colon: a review of sigmoid volvulus","volume":"78","author":"Osiro","year":"2012","journal-title":"Am Surg"},{"key":"2026083113514304100_ref10","volume-title":"Best Practices Guidelines: Spine Injury","author":"Schroeder","year":"2022"},{"key":"2026083113514304100_ref11","doi-asserted-by":"publisher","first-page":"142","DOI":"10.1007\/s00384-025-04920-y","article-title":"Survival outcomes in patients with sigmoid volvulus","volume":"40","author":"Bock","year":"2025","journal-title":"Int J Color Dis"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag761\/70884259\/rjag761.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag761\/70884259\/rjag761.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T17:52:01Z","timestamp":1788198721000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag761\/8776988"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":11,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,8,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag761","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,9]]},"published":{"date-parts":[[2026,8,31]]},"article-number":"rjag761"}}