Volvulus

Question 1

Most common volvulus

Answer 1

Sigmoid valvulus

Question 2

Predisposing factors for sigmoid volvulus

Answer 2

Long and narrow mesentry
Redundant sigmoid
Loaded sigmoid colon

Question 3

Rotation of sigmoid colon

Answer 3

Anti clockwise

Question 4

Sigmoid volvulus is common in

Answer 4

Psychiatric patient
Anti psychotic medication
Instituitionalised patient

Question 5

CF of sigmoid volvulus

Answer 5

Marked distension
Obstipation
Vomiting (late)
Pain

Question 6

Closed loop obstruction seen is seen in

Answer 6

Sigmoid volvulus

Strangulation common

Question 7

Finding in sigmoid volvulus

Answer 7

Coffebean sign
Bent inner tube sign

Question 8

Contrast wnema in sigmoid volvulus shows

Answer 8

Birds beak appearance (also in achalasia cardia)

Ace of spades sign

Question 9

IOC

Answer 9

CECT for adults in any bowel obstruction

Question 10

Management in stable pt with no strangulation and perforation

Answer 10

Sigmoidoscopy decompression (emergency management)

Sigmoidectomy
Sigmoidopexy (recurrence)

Question 11

Management in unstable pt with sepsis strangulation and perforation

Answer 11

HARTMANNS procedure (Any sigmoid conditions)

Question 12

Caecal volvulus

Answer 12

Clockwise
Mobile caecum
Caecal bascule
Adhesion

Question 13

X ray finding

Answer 13

Apex is towards left upper quadrant

Question 14

If no perforation and strangulation in caecal volvulus

Answer 14

Caecopexy
Right hemicolectomy

Question 15

If perforation or strangulation present in carcal volvulus

Answer 15

Right Hemicolectomy

Question 16

Other name for compound volvulus

Answer 16

Ileo-sigmoidal knotting

Question 17

Compound volvulus

Answer 17

If long pelvic mesocolon
Ileum rotates around sigmoid