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Relief of Catatonia Associated With Concurrent Relief of Sigmoid Volvulus After Electroconvulsive Therapy

Gupta, Nidhi MD*; Pennell, Ian MRCPsych*; Hargovan, Heena MRCPsych†

doi: 10.1097/YCT.0b013e3181c187e5
Case Reports

A patient with mild learning disability and paranoid schizophrenia developed catatonia. The marked emaciation associated with catatonia resulted in intestinal obstruction secondary to sigmoid volvulus. The patient's mental and physical health continued to deteriorate despite maximal treatment with medication, and therefore, electroconvulsive therapy was initiated. Electroconvulsive therapy resulted in improvement in catatonia; this was also associated with concurrent relief of the intestinal obstruction. This report highlights volvulus of the sigmoid colon as an unusual complication of catatonia.

From the *Wotton Lawn Hospital and †Learning Disability Service, Ambrose House, Gloucester, UK.

Received for publication August 14, 2009; accepted September 8, 2009.

Reprints: Nidhi Gupta, MD, 240 Quinton Rd, Birmingham, West Midlands, B17 0RG, UK (e-mail: nidhigupta@doctors.net.uk).

© 2010 Lippincott Williams & Wilkins, Inc.