Intestinal Volvulus | Colon | (Twisted Intestine Symptoms)

Description

An abnormal twisting of the intestines. The disorder can occur because of a congenital abnormality (mal-rotation of intestine) and usually presents early in life. It can also occur in adults and more commonly involves the large intestine (colon). The adult presentation is most often seen in institutionalized and bedridden patients. Regardless of the cause, the volvulus can cause obstruction of the flow of material through the bowel, variable loss of blood supply, and possible death of the colon. If untreated the disorder can be life threatening.

Symptoms

Abdominal tenderness, abdominal pain, nausea, vomiting, vomiting of fecal smelling material, bloody or dark red stool, constipation, distended abdomen, weak pulse.

Tests

A history and physical exam will be performed. Additional tests will be done to establish the diagnosis. A CT scan is the most common test to confirm the volvulus.

Standard Workup

CBC
Chem 12
Lipase
UA
X-Ray
CT Scan

Treatment

Emergency surgery is needed to untwist the bowel and restore blood supply. If the volvulus has been present long enough to cause tissue death the affected intestine will need to be removed. Many patients are dehydrated requiring intravenous fluids and electrolyte replacement.