Volvulus

Loop of intestine twists around itself and the mesentery that supports it, resulting in a bowel obstruction

Aetiology

• Congenital intestinal malrotation predisposes to midgut volvulus

• Abnormal intestinal contents e.g. meconium ileus can predispose to segmental volvulus

Clinical presentation

• Abdominal pain

• Abdominal bloating

• Vomiting bile - green

• Constipation

• Bloody stool

Investigations

• AXR

Management

• Surgery