When does midgut volvulus present?

In older children and adults, abdominal pain is the most common symptom and may present with abrupt onset over hours or days or as chronic intermittent pain over weeks, months, or years. Intermittent vomiting, chronic diarrhea, malabsorption, or failure to thrive comprises other potential presenting symptoms[6].

What is the symptoms of volvulus?

Symptoms which may indicate bowel obstruction due to volvulus include:

• Abdominal tenderness.
• Nausea or vomiting.
• Vomiting green bile-looking material.
• Bloody or dark red stool.
• Constipation or difficulty expelling stools.
• Distended abdomen.
• Shock.

How is midgut volvulus diagnosed?

In symptomatic patients with midgut volvulus who undergo computed tomography or ultrasonography, the whirlpool sign can be seen, which represents the clockwise rotation of the SMV, mesentery, and small bowel loops, twisting around the SMA. This finding is specific for volvulus.

What are the symptoms of malrotation and volvulus?

The following are the most common symptoms of malrotation and volvulus. However, each person may person symptoms differently. When the intestine becomes twisted or obstructed, the symptoms may include: Vomiting bile (green digestive fluid)

What happens if you have a midgut volvulus?

Malrotation with midgut volvulus can be a catastrophic event resulting in intestinal ischemia and shock and represents a surgical emergency. The most common clinical presentation of midgut volvulus is bilious vomiting, which is a nonspecific sign of intestinal obstruction.

What happens if you have malrotation of the midgut?

Midgut Volvulus. Malrotation with midgut volvulus can be a catastrophic event resulting in intestinal ischemia and shock and represents a surgical emergency. The most common clinical presentation of midgut volvulus is bilious vomiting, which is a nonspecific sign of intestinal obstruction.

What are the signs of a sigmoid volvulus?

The first investigation to be performed is a plain radiograph of the abdomen. Specific signs including “bent inner tube” or a “coffee bean” sign are characteristic for sigmoid volvulus. These refer to the appearance of the air-filled closed loop of the colon which forms the volvulus revealing a thick inner and a thin outer wall.