Tania Zavalza Jimenez Author
Subjects of specialization
Affiliation
Air cholangiogram, ERCP, Hilar strictures
Hepatology and Gastroenterology Department, National Liver Tania Zavlza Jimenez Ross University School of Medicine
Tania Zavalza Jimenez Living in the Central Valley. Shewant to work with the underserved, especially mentoring our younger generations and helping the undocumented and migrant community.
Case Report Open Access
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 moreĀ»