Search results
Results from the WOW.Com Content Network
Sigmoid colon volvulus, also known as sigmoid volvulus, is volvulus affecting the sigmoid colon. It is a common cause of bowel obstruction [ 1 ] and constipation . It is common in Asia, India (7% of intestinal obstruction ) and especially South India because of the high fibre diet.
Volvulus occurs most frequently in middle-aged and elderly men. [11] Volvulus can also arise as a rare complication in persons with redundant colon, a normal anatomic variation resulting in extra colonic loops. [12] Sigmoid volvulus is the most-common form of volvulus of the gastrointestinal tract.
The kidney bean sign (more commonly called the coffee bean sign; also bent inner tube sign) is a radiologic sign observed on abdominal radiographs that indicates the presence of a sigmoid volvulus, a form of bowel obstruction. It is seen as an area of hyperlucency resembling a coffee bean. [1]
Imaging (abdominal X-ray or CT showing free air) Labs (complete blood count) Aggressive IV fluid resuscitation General surgery consultation Antibiotics Volvulus [24] Sigmoid colon volvulus: Abdominal pain (>2 days, distention, constipation) Cecal volvulus: Abdominal pain (acute onset), nausea, vomiting Clinical (history and physical exam)
[1] [2] Small bowel obstructions are most often due to adhesions and hernias while large bowel obstructions are most often due to tumors and volvulus. [1] [2] The diagnosis may be made on plain X-rays; however, CT scan is more accurate. [1] Ultrasound or MRI may help in the diagnosis of children or pregnant women. [1]
Localized ahaustral distended colon can be seen on abdominal x-ray during obstruction or volvulus. Sigmoidal volvolus, more often seen in psychiatric and neurologically impaired patients (e.g. Parkinson's disease), shows lack of haustra on x-ray and points from the pelvis to the right upper quadrant just below the diaphragm.
An ileosigmoid knot or compound volvulus is an uncommon cause of intestinal blockage. [1] The condition arises when ileum loops wrap around the bottom of a redundant sigmoid loop. [ 2 ] In some countries in Africa, Asia, and the Middle East, the ileosigmoid knot is a well-known ailment; this condition is uncommon in the West.
The narrow mesentery predisposes some cases of malrotation to midgut volvulus, a twisting of the entire small bowel that can obstruct the mesenteric blood vessels leading to intestinal ischemia, necrosis, and death if not promptly treated. The fibrous Ladd's bands can constrict the duodenum, leading to intestinal obstruction.