volvulus Flashcards

1
Q

what is a sigmoid volvulus?

A
  1. large bowel obstruction caused by the sigmoid colon twisting on the sigmoif mesolon
  2. compromised blood flow and closed loop bowel obstruction
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2
Q

how does it present?

A

constipation
abdominal pain
nausea and vomitting

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3
Q

what is seen on abdominal x ray?

A
  1. coffee bean sign

2. large dilated bowel loop

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4
Q

mx

A

rigid sigmoidoscopy with rectal tube insertionmnmnm

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