A volvulus occurs when part of the large intestine is twisted on itself and the mesentery. The mesentery is a supportive tissue that anchors the intestines to the back wall of the abdomen. The twisted intestine creates a bowel obstruction that cuts off the blood supply and affects bowel function.
The treatment goal is to unblock the obstruction and restore bowel function. Treatment may include:
IV fluids may be given to prevent dehydration and shock. Your child may need a nasogastric tube to help prevent the build-up of gas in the stomach. A nasogastric tube is a tube inserted through the nose, down the esophagus, and into the stomach.
Your child’s doctor may recommend antibiotics if an infection is present or possible.
Antatomic problems of the lower GI tract. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: https://www.niddk.nih.gov/health-information/digestive-diseases/anatomic-problems-lower-gi-tract. Updated July 2013. Accessed October 2, 2017.
Intestinal malrotation and volvulus. Cincinnati Children’s Hospital website. Available at: ...(Click grey area to select URL) Updated August 2010. Accessed October 2, 2017.
Lal SK, Morgenstern R, Vinjirayer EP, Matin A. Sigmoid volvulus an update. Gastrointest Endosc Clin N Am. 2006;16(1):175-187.
Osiro SB, Cunningham D, Shoja MM, Tubbs RS, Gielecki J, Loukas M. The twisted colon: a review of sigmoid volvulus. Am Surg. 2012;78(3):271-279.