Volvulus Flashcards

1
Q

What are the two types?which is more common

A

Sigmoid - more common
Caecal

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2
Q

Risk factors

A

Neuropsychiatric disorders
Nursing home residents
Chronic constipation
High fibre diet
pregnancy
adhesions

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3
Q

Presentation?

A

Those of bowel obstruction

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4
Q

What are investigations and findings

A

XR abdo - coffee bean sign
Contrast CT

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5
Q

What is conservative management

A

Endoscopic decompression

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6
Q

What are surgical management options

A

Laparotomy
Hartmann’s procedure
Ileocaecal resection or R hemicolectomy for caecal volvulus

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