Our Summary
This research paper discusses a rare case of a 35-year-old man suffering from a twisted intestine, specifically in the descending colon, after having part of his sigmoid colon removed due to recurrent twisting or volvulus. His symptoms included a swollen belly, stomach cramps, and inability to pass stool or gas for three days. After an examination and scans, a distended or swollen bowel was identified. Surgery was performed to confirm and treat the condition, which involved the removal of the left side of his colon and creation of a temporary opening (stoma) for waste removal. The patient recovered well after the procedure. The paper emphasizes the importance of early diagnosis of this rare but serious condition, particularly in areas where volvulus is common, to avoid complications from a delayed diagnosis.
FAQs
- What symptoms did the 35-year-old man experience due to the twisted intestine?
- What surgical procedure was performed to treat the condition of the patient?
- Why does the research paper emphasize the importance of early diagnosis of this rare condition?
Doctor’s Tip
One helpful tip a doctor might tell a patient about sigmoidectomy is to follow post-operative care instructions carefully to ensure proper healing and minimize the risk of complications. This may include taking prescribed medications, eating a healthy diet, staying hydrated, avoiding strenuous activities, and attending follow-up appointments with your healthcare provider. It is also important to report any new or worsening symptoms to your doctor promptly. By following these guidelines, you can help ensure a successful recovery after sigmoidectomy.
Suitable For
Patients who are typically recommended sigmoidectomy include those suffering from conditions such as recurrent twisting or volvulus of the sigmoid colon, severe diverticulitis, colorectal cancer, inflammatory bowel disease, or other conditions that affect the sigmoid colon. In cases where conservative treatments have failed or the condition is severe and causing complications, sigmoidectomy may be recommended as a surgical intervention to remove part or all of the sigmoid colon. Early diagnosis and prompt treatment are crucial to prevent further complications and improve patient outcomes.
Timeline
Before sigmoidectomy: The patient experienced recurrent twisting or volvulus in his sigmoid colon, leading to symptoms such as a swollen belly, stomach cramps, and inability to pass stool or gas for three days. He underwent an examination and scans, which revealed a distended bowel.
During sigmoidectomy: Surgery was performed to confirm and treat the twisted intestine, involving the removal of the left side of the colon and creation of a temporary stoma for waste removal.
After sigmoidectomy: The patient recovered well after the procedure, with the stoma allowing for normal waste removal. The paper emphasizes the importance of early diagnosis and treatment of this rare condition to prevent complications from a delayed diagnosis.
What to Ask Your Doctor
- What is a sigmoidectomy and why is it necessary in my case?
- What are the risks and benefits of undergoing a sigmoidectomy procedure?
- How long is the recovery period after a sigmoidectomy surgery?
- Will I need a temporary or permanent stoma after the surgery?
- What lifestyle changes or dietary modifications should I make post-surgery?
- What are the chances of the twisted intestine recurring after the sigmoidectomy?
- How often will I need follow-up appointments or tests after the surgery?
- What are the signs or symptoms that I should watch out for post-surgery that may indicate a complication?
- Are there any specific medications or supplements that I should avoid taking after a sigmoidectomy?
- What is the long-term outlook for my health after undergoing a sigmoidectomy surgery?
Reference
Authors: Amare AG, Workneh GA, Tassew MT, Kebede MM, Tegegne MA, Negussie MA. Journal: J Surg Case Rep. 2025 Jan 3;2025(1):rjae827. doi: 10.1093/jscr/rjae827. eCollection 2025 Jan. PMID: 39758293