#sigmoid volvulus

[fuckyeahnarcotics]

A 32yo female with no known past medical history or hospitalization, presented to the emergency department with a three day history of colicky abdominal pain, abdominal distension, nausea and no passage of stools, her abdomen was generally distended, tympanic to percussion with no shifting dullness sign, the bowel sounds were markedly reduced, no discrete masses were palpable and digital rectal examination revealed an empty rectum; her radiograph demonstrates a greatly dilated sigmoid, note the 'coffee bean sign' a.k.a. 'bent inner tube sign', the remainder of the large bowel is not dilated, presumably because the proximal point of the twist is not causing obstruction and thus allows drainage into the sigmoid. 

[md-admissions]

The Moth and the World Science Festival Present Andy Borowitz: An Unexpected Twist

Recommended to me by my attending, who loves stories. This sounds a lot like what I imagine my patients to feel when they see me :)

[dpq83-blog-blog]

Hello

People have said it's best to write out your thoughts and feelings especially after going through difficult times. I tried doing it on a app but I prefer tumblr method. My reason for writing this blog was because I had life threatening situation with my colon. The condition I had was Sigmoid Volvulus which is were your colon twist and nothing can get through and I had to have same day surgery.  I had the surgery, let my body recover for a few days then Dr.'s gave ok for liquid diet. My first drink was good nice cold gaterade but later that night and the next couple nights I vomited. I shook and cried after these times, I felt weak my long incision felt like it was being stretch, it happened multiple times until the Dr's did a x-ray and saw I had blockage,actually 2 and so another surgery this time every worked and no vomiting.  As of October 24, 2013 it has been 117 days since my second surgery. It has changed my life and I want my old life back. People say give it time I want it now but I can't I have no other choice but to wait and have positive mental attitude which is tough. I usually have a a angry/frustrated/why me mental attitude. What makes me feel this way. I have what I believe is scar tissue all under my stomach right were your belly button is and below. It doesn't allow me to be flexible and I have to use my arms to push me up from the bed. I also have acid reflux but I'm not sure but that's what Dr's say I have, which may be caused by anxiety sometimes I think there is something still wrong with me inside that is causing this feelings. Lastly is spasms, they feel like a finger jabbing you in abdomen or stomach area out of no where and it gives you a painful feeling for about 1 second. These spasms have appear in last 30 days, in the hospital or when I got out I didn't feel them. Maybe it's the muscle trying to come back online, I don't know. So purpose of this is to tell my story to write down my thoughts and hope to look back and hopefully see if I have improved.