Volvulus Flashcards
1
Q
What is it?
A
torsion of the colon around it’s mesenteric axis resulting in compromised blood flow and closed loop obstruction.
2
Q
associations with sigmoid volvulus
A
older patients
chronic constipation
Chagas disease
neurological conditions e.g. Parkinson’s disease, Duchenne muscular dystrophy
psychiatric conditions e.g. schizophrenia
3
Q
associations with caecal volvulus
A
all ages
adhesions
pregnancy
4
Q
features of volvulus
A
constipation
abdominal bloating
abdominal pain
nausea/vomiting
5
Q
Ddx
A
AXR
SBO maybe seen with caecal volvlus
sigmoid volvulus = coffee bean sign
6
Q
Mx sigmoid volvulus
A
rigid sigmoidoscopy with rectal tube insertion
7
Q
Mx of caecal volvulus
A
opertaive
right hemicolectomy
