Volvulus Flashcards
1
Q
Investigations
A
Investigations:
● Bloods (electrolytes; exclude pseudo-obstruction),
● Contrast CT Abdo + Pelvis / USS → ‘whirlpool sign’
(due to twisting of mesentery around its base)
● AXR
2
Q
management
A
Management: examine for signs of ischaemia, fluid
resuscitation.
● Conservative: sigmoidoscope decompression & flatus
tube.
● Surgical: if ischaemic, perforated, failed decompression
or necrosis
3
Q
Complications
A
schaemia, perforation, recurrence, stoma
