VOLVULUS
Volvulus of the colon results from
rotation of a segment of bowel
on its mesenteric axis sufficient to
produce partial or complete
obstruction of the lumen.
5.1 SIGMOID VOLVULUS
CLINICAL MANIFESTATIONS
Symptoms are
intermittant, cramping
lower abdominal pain,
abdominal distension,
obstruction and absence of
passage of
flatus.
Nausea, vomiting and dehydration occur
after several hours.
Treatment is by passing a flatus tube
through a sigmoidoscope.
In
unsuccessful, a laparotomy
is required to
derotate the
volvulus.
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