//fpnotebook.com/
Volvulus
Aka: Volvulus, Intestinal Volvulus
- See Also
- Midgut Volvulus
- Intestinal Malrotation
- Gastric Volvulus
- Sigmoid Volvulus
- Definitions
- Volvulus
- Twisting of intestinal loop around attachment to mesentery
- Can occur at Stomach (Gastric Volvulus), Small Intestine, cecum, transverse colon or sigmoid colon
- Midgut Volvulus
- Associated with Intestinal Malrotation
- Presents in infants in 90% of cases
- Sigmoid Volvulus
- Presents in the elderly with Abdominal Pain, Abdominal Distention and obstipation (unable to pass stool or Flatus)
- Gastric Volvulus
- Rare condition that occurs in the elderly, typically due large paraesophageal Hiatal Hernias
- Infants represent 20% of cases, typically due to congenital Diaphragmatic Hernia
- Signs
- Abdominal exam may be benign
- Heme positive stool
- Late sign suggesting infarcted bowel
- Differential Diagnosis
- See Abdominal Pain Causes
- Complications
- Intestinal infarction (high mortality)
- Management
- Emergent surgical management
- Mesenteric Infarction and necrosis starts within first 3 hours of onset
- References
- Hebra (2012) Intestinal Volvulus, Medscape