Volvulus Flashcards
1
Q
What is a volvulus?
A
A volvulus is when a loop of intestine twists around itself and the mesentery that supports it, resulting in a bowel obstruction.
2
Q
What are the risk factors of a volvulus?
A
Age Female Mental illness Institutionalisation Megacolon
3
Q
What is the epidemiology of volvulus?
A
For colonic volvulus, data from the US indicate an incidence of 1.47 per 100,000 per year, and 1.7 per 100,000 per year in the UK. Much higher incidences are reported from Africa (i.e., 12 per 100,000 per year).
4
Q
What are the signs and symptoms of volvulus?
A
Vomiting Pain Distension/ tenderness Weight loss Tympanic abdomen Change in bowel habits Abnormal bowel sounds
5
Q
What investigations would you use for volvulus?
A
Upper GI contrast Series CT abdomen AXR (coffee bean sign) FBC US/ LGI contrast series/ ABG
