Can volvulus be seen from a CT scan?
The appearance of sigmoid volvulus on CT scans as well as on plain abdominal X-rays bears a significant resemblance to the pattern observed on the face of the Trinidadian steel pan, the recognition of which can aid in the diagnosis of this disease.
Can gastric volvulus resolve itself?
How- ever, volvulus also may occur in adulthood, and in some cases may manifest as chronic intermittent abdominal pain that resolves when the volvulus spontaneously reduces. If it does not spontane- ously reduce, patients at any age may present with abdominal pain, nausea, and vomiting (1,7).
How do you treat a sigmoid volvulus?
Conclusions: The principal strategy in the treatment for sigmoid volvulus is early nonsurgical detorsion followed by elective surgery in uncomplicated patients, while emergency surgical treatment is performed for patients with bowel gangrene, perforation, or peritonitis, other difficulties with diagnosis, unsuccessful …
When does the intestine twist upon itself?
Volvulus occurs when the intestine twists around itself and the mesentery that supports it, creating an obstruction. The area of intestine above the obstruction continues to function and fills with food, fluid, and gas.
Is volvulus painful?
The symptoms of volvulus appear suddenly and severely, so people usually go straight to the emergency room for prompt evaluation. Symptoms of volvulus include the following: abdominal pain and tenderness.
What triggers volvulus?
In adults, causes of a sigmoid volvulus include: an enlarged colon. abdominal adhesions that develop after surgery, injury, or infection. diseases of the large intestine, such as Hirschsprung’s disease.
What is the most common location for a volvulus?
The most common sites of volvulus are the sigmoid colon and cecum [1-4]. Volvulus of other portions of the alimentary tract, such as the stomach, gallbladder, small bowel, splenic flexure, and transverse colon, are rare.