Research and Reports in Gastroenterology

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Carlos E Ramirez Author

eelshimi@liver-eg.org

Subjects of specialization
X-ray, steatosis, siRNA

Affiliation
Hepatology and Gastroenterology Department, National Liver Institute-Menoufia University, Egypt

Biography

Carlos E Ramirez obtained her PhD in Immunology from the University of London. Postdoctoral research experience investigating the development of immune cell-based cancers and mechanisms underlying cancer gene regulation pathways was obtained at the University of Glasgow

Publications

Case Report Open Access

Perforated Sigmoid Volvulus in an Elderly Male with Expressive Aphasia

Author(s):

Steven KM Vuu, Tania Zavalza Jimenez, Carlos E Ramirez, Michael J DeRogatis* and Gudata Hinika

We report on a 73-year-old male with expressive aphasia and multiple comorbidities that presented with generalized abdominal pain, nausea, and no bowel movement or flatus in the last 3 days. On physical exam his vital signs were stable and his abdomen was distended, firm, and diffusely tender to palpation with guarding along with hyperactive bowel sounds. Computed Tomography (CT) scan was highly suggestive of a sigmoid volvulus. Colonoscopic decompression was unsuccessful, so surgical repair of the volvulus was indicated. Laparotomy revealed significant distention of the sigmoid and rectosigmoid junctions with a sigmoid volvulus that was impacted with stool up to the ascending colon, and a small serosal tear to the cecum with bowel contents dispersed throughout the abdomen. Rectosigmoid... view more»

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