Surgery Book

Stomach Disorders

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Sigmoid Volvulus

Aka: Sigmoid Volvulus
  1. See Also
    1. Volvulus
    2. Gastric Volvulus
  2. Definitions
    1. Volvulus
      1. Twisting of intestinal loop around attachment to mesentery
      2. Can occur at Stomach (Gastric Volvulus), Small Intestine, cecum, transverse colon or sigmoid colon
  3. Epidemiology
    1. Typically occurs in elderly
  4. Symptoms: Sigmoid Volvulus
    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. Complications
    1. Intestinal infarction (high mortality)
  8. Management
    1. Emergent surgical management
      1. Mesenteric Infarction and necrosis starts within first 3 hours of onset
  9. References
    1. Hebra (2012) Intestinal Volvulus, Medscape

Sigmoid volvulus (C0149863)

Concepts Pathologic Function (T046)
SnomedCT 197060001
English sigmoid volvulus, sigmoid volvulus (diagnosis), sigmoid colon volvulus, Sigmoid volvulus, Volvulus of sigmoid colon, Sigmoid volvulus (disorder)
Spanish vólvulo de colon sigmoide (trastorno), vólvulo de colon sigmoide
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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