Intestinal volvulus (twisting of intestine)
About Intestinal volvulus (twisting of intestine)
Twisting of the bowel causing a blockage of food material and usually decreased blood flow to the affected intestine. The intestine can die causing peritonitis and death. The volvulus may occur in children due to a congenital abnormality while in adults it is associated with overuse of laxatives and psychiatric disease (or its treatment). Often, no cause can be identified.Symptoms
Abdominal fullness, gaseous, abdominal distention, abdominal pain and cramping, vomiting, failure to pass gas or stool (severe constipation), diarrhea.Tests & Diagnostics
A history and physical exam will be performed. Imaging studies are performed to establish the diagnosis.Common tests: Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, Lipase, Urinalysis (UA), X-ray.
Conventional treatment summary
Most cases of volvulus require surgical correction. At times a volvulus of the colon can be decompressed without surgery. Small intestinal volvuli usually require surgery to untwist the bowel and then attach the intestine to the abdominal wall to prevent recurrence.Medical specialties
General Surgery · Pediatric Surgery
This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Intestinal volvulus (twisting of intestine).