Posts Tagged ‘Intestinal Volvulus Diagnosis’
Intestinal Volvulus: Diagnosis and Treatment
Clinical findings of intestinal volvulus are determined by the pattern, severity and duration of bowel obstruction and can be summarized as:
- Mobile bowel syndrome: chronic intermittent abdominal pain with spontaneous resolution after the passage of air. A physical evaluation can be observed mild abdominal pain on the right or no symptoms. Usually not associated with bowel infarction or necrosis, however, these symptoms may be a warning of 50% of cases of acute obstruction.
- Acute Obstruction: Presence of abdominal pain and vomiting that are not resolved spontaneously. May present increased sensitivity in the abdomen, with or without a palpable abdominal mass, accompanied by bowel sounds. If treated in a timely manner there is a low probability of having death of cells in the intestine.
- Acute fulminant Volvulus: People feel irritability and severe abdominal pain that is associated with peritonitis. Often have intestinal necrosis (death of cells in the gut) that threatens the patient’s life.