Symptoms of infantile volvulus

summary

Volvulus is a kind of closed loop intestinal obstruction caused by the rotation of one segment of intestinal loop along the long axis of mesentery or the twisting of two segments of intestinal loop. It is often because the intestinal loop and mesentery are too long, and the intestinal cavity is compressed and narrowed 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. Let's talk about the symptoms of infantile volvulus.

Symptoms of infantile volvulus

1. Small intestinal volvulus (1) symptoms: ① most of them are young adults who work hard after meals, and their posture and body odor change suddenly. 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.

2. The symptoms of sigmoid volvulus (1) are more common in the elderly with habitual constipation, and they may have a similar attack history. ② The clinical manifestations were acute abdominal pain, paroxysmal colic, no exhaust and defecation, and obvious abdominal distension. (2) 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.

3. Cecal volvulus (1) symptoms: acute abdominal pain in the middle or right lower abdomen, paroxysmal aggravation, nausea and vomiting, no exhaust and defecation. (2) physical examination showed tenderness in the right lower abdomen, asymmetric uplift in the abdomen, elastic mass in the upper abdomen, and active bowel sounds in the early stage of torsion.

matters needing attention

Volvulus is a closed loop intestinal obstruction caused by a segment of intestinal loop rotating along the long axis of mesentery or two segments of intestinal loops twisted into knots. The former is common in patients with paroxysmal severe colic, abdominal distension and stop defecation and exhaust. After metaphase, nausea and vomiting may occur, and vomit is the content of gastrointestinal tract. Pay attention to fasting, gastrointestinal decompression, maintain water and electrolyte balance, anti infection, maintain nutrition. 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.