Symptoms of sigmoid volvulus?

summary

Volvulus of sigmoid colon is a common type of strangulated obstruction of colon. Most of the patients are 40-50 years old. It is common in the north but rare in the south. The main reason is that the sigmoid colon is long and the mesentery is relatively short, or it is caused by inflammatory adhesion. Symptoms of sigmoid volvulus? Next, I'd like to share my views with you.

Symptoms of sigmoid volvulus?

First, the patient's general condition is good, abdominal distension is asymmetric, especially on the left side. In addition to intestinal necrosis, there was only mild abdominal tenderness, no significant peritoneal irritation, and sometimes a cystic mass with tenderness could be touched. Auscultation with high-profile bowel sounds or gas over water sound.

Second: elderly patients or physical weakness, long course of disease can have shock performance. Abdominal distension was milder than that in subacute cases, peritoneal irritation was obvious, tenderness and rebound pain were found in the whole abdomen, abdominal muscle tension was obvious, bowel sounds disappeared, suggesting that intestinal necrosis might occur.

Third, the abdominal X-ray plain film shows that the huge isolated intestinal loop with obvious inflation on the left side of the abdomen extends from the pelvic cavity to the middle and upper abdomen, and even to the diaphragm, occupying most of the abdominal cavity, forming the so-called "curved tube" sign. In the loop of sigmoid colon, there are two liquid and gas surfaces in different planes. There were different degrees of flatulence in the left and right colon and small intestine.

matters needing attention

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