Volvulus (patient information)

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Volvulus (patient information)
CECAL VOLVULUS
27 year old female with osteogenesis imperfecta. Patient is complaining of abdominal pain.
Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology
ICD-10 K56.2
ICD-9 537.3, 560.2
DiseasesDB 13996
MeSH D045822

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Jinhui Wu, M.D.; Assistant Editor-in-Chief: Meagan E. Doherty

Overview

A volvulus is a twisting of the intestine that can occur in childhood. It causes a blockage, and may cut off blood flow and damage part of the intestine.

What are the symptoms of Volvulus?

Symptoms are usually severe enough that infants are taken early to the emergency room, which can be critical for survival.

What are the causes of Volvulus?

A birth defect called intestinal malrotation can make infants more likely to develop a volvulus. However, a volvulus can occur without malrotation.

Volvulus due to malrotation often occurs early in life, usually in the first year.

Who is at risk for Volvulus?

  • young children
  • children with a birth defect called [intestinal malrotation]

How to know you have Volvulus (Diagnosis)?

The following tests are done to diagnose volvulus

When to seek urgent medical care

This is an emergency condition. The symptoms of childhood volvulus develop quickly and the child becomes severely ill. Get medical attention immediately.

Treatment options

Emergency surgery is needed to repair the volvulus. A surgical cut is made in the abdomen. The bowels are untwisted and the blood supply restored.

If a small segment of bowel is dead from a lack of blood flow (necrotic), it is removed. The ends of the bowel are sewn back together. Or, they are used to form a connection of the intestines to the outside, through which bowel contents can be removed (colostomy or ileostomy).

Diseases with similar symptoms

Where to find medical care for Volvulus

Directions to Hospitals Treating Volvulus

What to expect (Outlook/Prognosis)

Diagnosing and treating volvulus quickly generally leads to a good outcome.

If the bowel is dead (necrotic), the outlook is poor. The situation may be life-threatening, depending on how much of the bowel is dead.

Possible Complications

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