Symptoms of ascending volvulus?

summary

Ascending colon volvulus is caused by the rotation of a certain segment of the intestinal loop along a fixed point. It is often because the intestinal loop and its mesentery are too long and the intestinal cavity becomes narrow due to compression after volvulus, which causes obstruction, torsion and compression and affects the blood supply of the intestinal canal. Therefore, the intestinal obstruction caused by volvulus is mostly strangulated. Physical labor or strenuous exercise after a full meal is often the inducing factor of volvulus, which is a kind of closed loop obstruction. Volvulus loop is one of the most dangerous types of mechanical intestinal obstruction. Most volvulus occurs in the small intestine. Volvulus of small intestine usually occurs in young adults between 20 and 40 years old. Volvulus of cecum usually occurs in adults under 40 years old. Volvulus of sigmoid colon usually occurs in middle-aged and old people between 40 and 70 years old. The incidence rate of male is higher than that of female. Symptoms of ascending volvulus? Let's talk about it.

Symptoms of ascending volvulus?

(1) Symptoms (1) are more common in young adults with heavy physical work, working after meals, sudden changes in posture and body odor, etc. ② The clinical manifestations are sudden and persistent severe abdominal pain with paroxysmal aggravation, which can radiate to the waist and back. The early abdominal pain is in the upper abdomen and around the umbilicus, intestinal necrosis, peritonitis, abdominal pain, frequent vomiting, stop exhaust and defecation.

(2) Signs in the early stage of volvulus, peritonitis and shock appeared when the intestinal loop was strangulated and necrotic.

(3) Physical examination showed obvious asymmetric abdominal distension, obvious tenderness in the left lower abdomen and active bowel sounds in the early stage of torsion; Peritonitis and shock occurred during strangulation and necrosis of torsion loops.

matters needing attention

It is significant to prevent volvulus to avoid heavy physical work immediately after a full meal, especially when the body needs to bend forward and rotate.