Gastroenterology Book

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Volvulus

Aka: Volvulus, Midgut Volvulus, Intestinal Volvulus, Small Bowel Volvulus, Duodenal Volvulus, Congenital Volvulus
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  1. See Also
    1. Intestinal Malrotation
  2. Definitions
    1. Volvulus
      1. Twisting of intestinal loop around attachment to mesentery
      2. Can occur at Stomach, Small Intestine, cecum, transverse colon or sigmoid colon
    2. Midgut Volvulus
      1. Associated with Intestinal Malrotation
      2. Presents in infants in 90% of cases
  3. Symptoms: Midgut Volvulus (infants and children)
    1. Infants
      1. Bilious Emesis
      2. Sudden onset of Abdominal Pain
    2. Older children
      1. Chronic intermittent Vomiting and abdominal cramping
      2. Failure to Thrive
      3. Constipation
      4. Bloody Diarrhea
  4. Symptoms: Sigmoid Volvulus (elderly)
    1. Abdominal Pain
    2. Abdominal distention
    3. Obstipation (unable to pass stool or flatus)
    4. Vomiting is a late and ominous sign
  5. Signs
    1. Abdominal exam may be benign
    2. Heme positive stool
      1. Late sign suggesting infarcted bowel
  6. Differential Diagnosis
    1. See Abdominal Pain Causes
  7. Imaging
    1. Upper gastrointestinal series
      1. Higher Test Sensitivity for Intestinal Malrotation than for Volvulus
  8. Complications
    1. Intestinal infarction (high mortality)
  9. Management
    1. Emergent surgical management
      1. Delay risks
  10. Resources
    1. Hebra (2012) Intestinal Volvulus, Medscape
      1. http://emedicine.com/article930576-overview
  11. References
    1. Lampl (2012) Pediatr Radiol 39:359-66
    2. Laurence (2012) Pediatr Emerg Care 28(1): 87-9

Intestinal Volvulus (C0042961)

Definition (MSH) A twisting in the intestine (INTESTINES) that can cause INTESTINAL OBSTRUCTION.
Concepts Disease or Syndrome (T047)
MSH D045822
ICD9 560.2
ICD10 K56.2
SnomedCT 197057008, 155774005, 197061002, 9707006
English INTESTINAL VOLVULUS, Intestinal volvulus, NOS, Volvulus NOS, volvulus, volvulus (diagnosis), Volvulus (& [torsion of bowel]) (disorder), Volvulus (disorder), INTESTINE VOLVULUS, VOLVULUS, Volvulus of intestine, Volvulus NOS (disorder), Intestinal Volvulus [Disease/Finding], bowel volvulus, intestinal volvulus, volvulu, bowel torsion, intestine volvulus, Volvulus, Intestinal Volvulus, Volvulus, Intestinal, Volvulus, Intestine, Twisting of intestine on mesenteric axis, Torsion of bowel, Intestinal volvulus (disorder), Intestinal volvulus, bowel; torsion, torsion; bowel, Volvulus (& [torsion of bowel]), Knotting of intestine, bowel, or colon, Strangulation of intestine, bowel, or colon, Torsion of intestine, bowel, or colon, Twist of intestine, bowel, or colon, Volvulus of bowel
Dutch volvolus, volvolus van de darm, darm; torsie, torsie; darm, Volvulus, Darmvolvulus
German Verschlingung, Volvulus, Darmverschlingung, Volvulus intestini
Portuguese Vólvulo, Vólvulo intestinal, Volvo Intestinal, Vólvulo Intestinal
Spanish Vólvulo, Vólvulo intestinal, Volvulus (& [torsion of bowel]), Volvulus, Torsion of bowel, torsión del intestino en el eje mesentérico, vólvulo intestinal (trastorno), vólvulo intestinal, vólvulo, SAI (trastorno), vólvulo, SAI, Vólvulo Intestinal, Volvulo Intestinal
Italian Volvolo dell'intestino, Volvolo, Volvolo intestinale
Japanese 腸の軸捻転, ﾁｮｳﾉｼﾞｸﾈﾝﾃﾝ, ﾁｮｳﾈﾝﾃﾝ, 腸捻転症, 腸軸捻, 腸軸捻症, 腸軸捻転, 捻転-腸, 腸管軸捻, 腸軸捻転症, 腸管軸捻症, 腸捻転, 軸捻-腸管
Swedish Volvulus
Czech střeva - zauzlení, volvulus intestini, Volvulus střeva, Volvulus
Finnish Suolenkiertymä
Russian KISHECHNIKA UZLOVAIA NEPROKHODIMOST', КИШЕЧНИКА УЗЛОВАЯ НЕПРОХОДИМОСТЬ
Korean 장축염전증
Polish Skręt jelit
Hungarian Volvulus, Bél volvulusa
French Volvulus, Volvulus de l'intestin, Volvulus intestinal
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Congenital malrotation of intestine (C0221210)

Concepts Congenital Abnormality (T019)
SnomedCT 29980002, 48641006, 204756000
English Congenital Malrotations, INTESTINAL MALROTATION, INTESTINE, MALROTATION, Malrotation, congenital, Congenital malrotation, NOS, Incomplete rotation intestine, VOLVULUS OF MIDGUT, intestinal malrotation, intestinal malrotation (diagnosis), Congenital malrotation of intestine, congenital malrotation, intestine malrotation, midgut volvulus, intestines malrotation, volvulus neonatorum, malrotation intestine, Malrotation of intestine, Incomplete rotation of intestine, Volvulus neonatorum, Volvulus of midgut, Congenital malrotation (morphologic abnormality), Congenital malrotation of intestine (disorder), Congenital malrotation, bowel; malrotation, malrotation; bowel, Malrotation of gut, Intestinal malrotation
Dutch malrotatie van darmen, darm; malrotatie, malrotatie; darm
French Anomalie de la rotation intestinale
Italian Malrotazione intestinale
Portuguese Má rotação intestinal
Spanish Malrotación intestinal, Malrotation of gut, Malrotation of intestine, malrotación congénita del intestino (trastorno), malrotación congénita del intestino, rotación anómala congénita de intestino (trastorno), rotación anómala congénita de intestino, rotación patológica de origen congénito (anomalía morfológica), rotación patológica de origen congénito
Japanese 腸回転異常, ﾁｮｳｶｲﾃﾝｲｼﾞｮｳ
Czech Abnormální rotace sttřev
Hungarian Intestinalis malrotatio
German Malrotation
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Volvulus of the small bowel (C0238199)

Concepts Pathologic Function (T046)
SnomedCT 197058003
English INTESTINE, SMALL, VOLVULUS, small intestine volvulus, small intestine volvulus (diagnosis), small bowel volvulus, volvulus of the small bowel, Volvulus of the small bowel, Volvulus of the small bowel (disorder), Volvulus of small bowel
Dutch volvulus van dunne darm
French Volvulus de l'intestin grêle
German Volvulus des Duenndarms
Italian Volvolo dell'intestino tenue
Portuguese Vólvulo do intestino delgado
Spanish Vólvulo de intestino delgado, vólvulo del intestino delgado (trastorno), vólvulo del intestino delgado
Japanese 小腸捻転, ｼｮｳﾁｮｳﾈﾝﾃﾝ
Czech Volvulus tenkého střeva
Hungarian Vékonybél volvulusa
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Volvulus of duodenum (C0267354)

Concepts Disease or Syndrome (T047)
ICD10 K31.5
SnomedCT 79812002
English duodenal volvulus, duodenal volvulus (diagnosis), Volvulus of duodenum, Duodenal volvulus, Volvulus of duodenum (disorder)
Spanish vólvulo de duodeno (trastorno), vólvulo de duodeno
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Congenital volvulus (C0345252)

Concepts Congenital Abnormality (T019)
SnomedCT 253786009, 204768009
Spanish Congenital volvulus, vólvulo congénito (trastorno), vólvulo congénito
English congenital volvulus, congenital volvulus (diagnosis), Congenital volvulus, Congenital volvulus (disorder), congenital; volvulus, volvulus; congenital
Dutch congenitaal; volvulus, volvulus; congenitaal
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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