Volvulus

Question 1

What is it?

Answer 1

malrotation of an organ or section of bowel about a point on its mesentery

Question 2

What are symptoms caused by?

Answer 2

bowel obstruction (abd distension + bilious vomiting)

ischaemia to affected portion of bowel (pain)

Question 3

AXR

Answer 3

coffee-bean sign

Question 4

Mx

Answer 4

sigmoidoscopy and insertion of a flatus tube

Question 5

symptoms of a stomach volvulus

classical triad of gastro-oesophageal obstruction

Answer 5

• vomiting
• pain
• failed attempts to pass an NG tube