Volvulus

Question 1

Associations with sigmoid volvulus

Answer 1

Older patients, chronic constipation, Chagas disease, neurological conditions (Parkinsons, DMD), psychiatric conditions (schizo)

Question 2

Associations with caecal volvulus

Answer 2

All ages, adhesions, pregnancy

Question 3

Features of volvulus

Answer 3

Constipation, abdominal bloating, abdominal pain, nausea, vomiting

Question 4

Investigations into volvulus

Answer 4

Abdominal film, LBO and coffee bean sign, SBO

Question 5

Management of sigmoid volvulus

Answer 5

Rigid sigmoidoscopy with rectal tube insertion

Question 6

Management of caecal volvulus

Answer 6

Operative, right hemicolectomy often needed