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symptoms of small bowel volvulus, early symptoms and signs of small bowel volvulus

symptoms of small bowel volvulus, early symptoms and signs of small bowel volvulus

Symptoms of small bowel volvulus

Typical symptoms: Small bowel volvulus manifests as symptoms of acute mechanical intestinal obstruction. There are often predisposing factors such as strenuous activity after eating. Those who occur in children are often related to congenital intestinal malrotation. It manifests as a sudden onset of severe abdominal cramps, mostly around the umbilical cord, and it is often a persistent and paroxysmal aggravation of pain;

Related symptoms: Nausea, fecal vomit, fecal impaction, bowel movement

1. Symptoms

Torsion of the small bowel is manifested as symptoms of acute mechanical intestinal obstruction. There are often predisposing factors such as strenuous activity after eating. Those who occur in children are often related to congenital intestinal malrotation. It manifests as a sudden onset of severe abdominal cramps, mostly around the umbilical cord, and is often persistent and paroxysmal aggravation of pain; abdominal pain often involves the lower back, patients often do not dare to lie on their back, prefer to take the chest-knee position or curled side lying position; frequent vomiting , The early abdominal distension is not obvious, the tenderness is lighter, there is no obvious abdominal muscle tension and rebound pain; there may be no high-pitched bowel sounds. Over time, the abdominal distension is obvious and gradually aggravated, sometimes showing asymmetrical abdominal distension, abdominal tenderness and muscle tension. The abdomen can sometimes be palpable with tender and dilated bowel loops.

2. Diagnosis

This disease is characterized by acute and complete intestinal obstruction. Sudden severe abdominal cramps appear after the posture changes, which may be accompanied by lumbar and back pain; with the passage of time, the abdominal distension is obvious and gradually aggravated, sometimes showing asymmetrical abdominal distension, and the abdomen Tenderness and muscle tension, forced posture. Abdominal X-ray examination is consistent with the performance of strangulated intestinal obstruction, showing signs of transposition of jejunum and ileum, or small-span curled bowel loops arranged in various shapes. Ultrasound and CT examination showed "vortex sign".

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