PE: Vital: Tachycardic 100-120, Rectal 101 F. Otherwise WNL.
Alert, moaning, nonverbal. Moaning loud with bed movement. Anicteric.
Cardiopulm: Tachycardic, Lungs CTAB
Abdomen: Severe abdominal distension. No bowel sounds heard. Apparent rebound TTP. Rigid.
Bedside US of abdomen
Bedside Upright Chest/Abdomen Xray.
CT w/o Contrast
Case Conclusion: CT revealed sigmoid volvulus. Pt was taken emergently to OR where GI reduced the volvulus without complication using rigid sigmoidoscopy and insufflation. The next day the patient had an elective sigmoidectomy to remove redundant colon.