alexa Clinical Image on Sigmoid Volvulus (Ileo-Sigmoidal Knoting) in Mearg General Hospital West Tigray, Ethiopia | OMICS International
ISSN: 2329-9126
Journal of General Practice
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Clinical Image on Sigmoid Volvulus (Ileo-Sigmoidal Knoting) in Mearg General Hospital West Tigray, Ethiopia

Solomon Gebre*

Emergency Surgical Department, Mearg General Hospital, Dansha, West Tigray, Ethiopia

Corresponding Author:
Solomon Gebre
Emergency Surgical Department
Mearg General Hospital, Dansha
West Tigray, Ethiopia
Tel: 251911366834
E-mail: [email protected]

Received Date: July 09, 2017; Accepted Date: July 10, 2017; Published Date: July 15, 2017

Citation: Gebre S (2017) Clinical Image on Sigmoid Volvulus (Ileo-Sigmoidal Knoting) in Mearg General Hospital West Tigray, Ethiopia. J Gen Pract (Los Angel) 5:i005. doi:10.4172/2329-9126.1000i005

Copyright: © 2017 Gebre S. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Introduction

This is a 28 years Para four mothers on her third post-partum period presented with sever persistent abdominal pain, vomiting, fever, fast breathing and failure to pass faces and flatus of three days duration. Investigation Hct=18% Bg and Rh=O +ve PAF shows multiple air fluid level with distended colon. On physical examination Bp=80/40 mmHg T=38.8 PR=131bpm RR=32 bpm pale conjunctiva, grossly distended abdomen, sever direct and rebound tenderness, involuntary abdominal guarding and empty rectum on PR. The Intraoperative finding were ileosigmoidal knotting (ileum were wrapped around the sigmoid) with gangrenous ileum and sigmoid. Untying the knot, resection of gangrenous ileum and sigmoid colon, ileo-transfers end to side anastomosis and end sigmoid colostomy was done (Figures 1-3).

general-practice-small-bowel

Figure 1: Gangrenous small bowel (Terminal Ileum).

general-practice-large-bowel

Figure 2: Gangrenous small (Terminal Ileum) and large bowel (Sigmoid).

general-practice-Hartmanns-colostomy

Figure 3: Functional Hartmann’s colostomy.

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