Volvulus: Difference between revisions
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{{Infobox medical condition | |||
| name = Volvulus | |||
| image = [[File:Volvulus.PNG|250px]] | |||
| caption = Volvulus of the [[sigmoid colon]] | |||
| field = [[Gastroenterology]] | |||
| symptoms = [[Abdominal pain]], [[abdominal distension]], [[vomiting]], [[constipation]] | |||
| complications = [[Bowel ischemia]], [[perforation (medical)|perforation]], [[sepsis]] | |||
| onset = Sudden | |||
| duration = Variable | |||
| causes = [[Malrotation]], [[adhesions]], [[chronic constipation]] | |||
| risks = [[Elderly]], [[chronic constipation]], [[neurological disorders]] | |||
| diagnosis = [[Abdominal X-ray]], [[CT scan]], [[barium enema]] | |||
| differential = [[Ileus]], [[intussusception]], [[bowel obstruction]] | |||
| treatment = [[Endoscopy]], [[surgery]] | |||
| medication = [[Antibiotics]] | |||
| prognosis = Variable, depends on time to treatment | |||
| frequency = Rare | |||
}} | |||
[[Volvulus]] is a medical condition involving a twist of the bowel that can lead to obstruction and infarction. This can cause severe abdominal pain and potentially life-threatening complications. | [[Volvulus]] is a medical condition involving a twist of the bowel that can lead to obstruction and infarction. This can cause severe abdominal pain and potentially life-threatening complications. | ||
[[File:Volvulus 01.jpg|thumb|Volvulus 01]] | [[File:Volvulus 01.jpg|left|thumb|Volvulus 01]] | ||
==Types== | ==Types== | ||
* There are several types of volvulus based on the location of the twist: | * There are several types of volvulus based on the location of the twist: | ||
| Line 6: | Line 25: | ||
* '''Cecal volvulus''': The cecum, which is the beginning of the large intestine, becomes twisted. | * '''Cecal volvulus''': The cecum, which is the beginning of the large intestine, becomes twisted. | ||
* '''Midgut volvulus''': This occurs when the entire midgut, which includes part of the small intestine, rotates abnormally. This type is most common in infants and children. | * '''Midgut volvulus''': This occurs when the entire midgut, which includes part of the small intestine, rotates abnormally. This type is most common in infants and children. | ||
==Symptoms== | ==Symptoms== | ||
Symptoms of volvulus can include severe abdominal pain, bloating, nausea, vomiting, constipation, and bloody stool. Symptoms can be sudden or gradually develop over a period of weeks or months. | Symptoms of volvulus can include severe abdominal pain, bloating, nausea, vomiting, constipation, and bloody stool. Symptoms can be sudden or gradually develop over a period of weeks or months. | ||
==Treatment== | ==Treatment== | ||
Immediate medical attention is necessary if volvulus is suspected. Treatment typically involves surgery to untwist the bowel and potentially remove any segment of the bowel that has been damaged. In some cases, a procedure called sigmoidoscopy can be used to untwist the sigmoid colon. | Immediate medical attention is necessary if volvulus is suspected. Treatment typically involves surgery to untwist the bowel and potentially remove any segment of the bowel that has been damaged. In some cases, a procedure called sigmoidoscopy can be used to untwist the sigmoid colon. | ||
==Risk Factors== | ==Risk Factors== | ||
Certain people may be more at risk of developing volvulus, including those with a history of chronic constipation, certain congenital malformations, or previous abdominal surgery. | Certain people may be more at risk of developing volvulus, including those with a history of chronic constipation, certain congenital malformations, or previous abdominal surgery. | ||
==See Also== | ==See Also== | ||
* [[Intestinal obstruction]] | * [[Intestinal obstruction]] | ||
* [[Abdominal pain]] | * [[Abdominal pain]] | ||
* [[Sigmoidoscopy]] | * [[Sigmoidoscopy]] | ||
==References== | ==References== | ||
* "Volvulus". Mayo Clinic. | * "Volvulus". Mayo Clinic. | ||
* "Volvulus". Cleveland Clinic. | * "Volvulus". Cleveland Clinic. | ||
* "Volvulus". Johns Hopkins Medicine. | * "Volvulus". Johns Hopkins Medicine. | ||
==External Links== | ==External Links== | ||
[[Volvulus - MedlinePlus]] | [[Volvulus - MedlinePlus]] | ||
Latest revision as of 18:09, 12 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD's medical weight loss NYC, sleep center NYC
Philadelphia medical weight loss and Philadelphia sleep clinics
| Volvulus | |
|---|---|
| |
| Synonyms | N/A |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Abdominal pain, abdominal distension, vomiting, constipation |
| Complications | Bowel ischemia, perforation, sepsis |
| Onset | Sudden |
| Duration | Variable |
| Types | N/A |
| Causes | Malrotation, adhesions, chronic constipation |
| Risks | Elderly, chronic constipation, neurological disorders |
| Diagnosis | Abdominal X-ray, CT scan, barium enema |
| Differential diagnosis | Ileus, intussusception, bowel obstruction |
| Prevention | N/A |
| Treatment | Endoscopy, surgery |
| Medication | Antibiotics |
| Prognosis | Variable, depends on time to treatment |
| Frequency | Rare |
| Deaths | N/A |
Volvulus is a medical condition involving a twist of the bowel that can lead to obstruction and infarction. This can cause severe abdominal pain and potentially life-threatening complications.
Types[edit]
- There are several types of volvulus based on the location of the twist:
- Sigmoid volvulus: The sigmoid colon, which is part of the large intestine, becomes twisted. This is the most common type of volvulus in adults.
- Cecal volvulus: The cecum, which is the beginning of the large intestine, becomes twisted.
- Midgut volvulus: This occurs when the entire midgut, which includes part of the small intestine, rotates abnormally. This type is most common in infants and children.
Symptoms[edit]
Symptoms of volvulus can include severe abdominal pain, bloating, nausea, vomiting, constipation, and bloody stool. Symptoms can be sudden or gradually develop over a period of weeks or months.
Treatment[edit]
Immediate medical attention is necessary if volvulus is suspected. Treatment typically involves surgery to untwist the bowel and potentially remove any segment of the bowel that has been damaged. In some cases, a procedure called sigmoidoscopy can be used to untwist the sigmoid colon.
Risk Factors[edit]
Certain people may be more at risk of developing volvulus, including those with a history of chronic constipation, certain congenital malformations, or previous abdominal surgery.
See Also[edit]
References[edit]
- "Volvulus". Mayo Clinic.
- "Volvulus". Cleveland Clinic.
- "Volvulus". Johns Hopkins Medicine.
