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[1] [2] Onset of symptoms may be rapid or more gradual. [2] The mesentery may become so tightly twisted that blood flow to part of the intestine is cut off, resulting in ischemic bowel. [1] In this situation there may be fever or significant pain when the abdomen is touched. [2]
The narrow mesentery predisposes some cases of malrotation to midgut volvulus, a twisting of the entire small bowel that can obstruct the mesenteric blood vessels leading to intestinal ischemia, necrosis, and death if not promptly treated. The fibrous Ladd's bands can constrict the duodenum, leading to intestinal obstruction.
Sigmoid colon volvulus, also known as sigmoid volvulus, is volvulus affecting the sigmoid colon.It is a common cause of bowel obstruction [1] and constipation.It is common in Asia, India (7% of intestinal obstruction) and especially South India because of the high fibre diet.
Bowel obstruction, also known as intestinal obstruction, is a mechanical or functional obstruction of the intestines which prevents the normal movement of the products of digestion. [2] [5] Either the small bowel or large bowel may be affected. [1] Signs and symptoms include abdominal pain, vomiting, bloating and not passing gas. [1]
Symptoms include abdominal pain which may come and go, vomiting, abdominal bloating, and bloody stool. [1] It often results in a small bowel obstruction. [1] Other complications may include peritonitis or bowel perforation. [1] The cause in children is typically unknown; in adults a lead point is sometimes present. [1]
Biofeedback has been shown to improve symptoms (improved frequency of bowel movements, reduced straining) and also reduce need for laxatives, [16] and patients stop needing to self-digitate. [24] Biofeedback can successfully treat abnormal contraction and relaxation of muscles in the anorectum during defecation. [ 24 ]
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Individuals prone to DIOS tend to be at risk for repeated episodes and often require maintenance therapy with pancreatic enzyme replacement, hydration and laxatives (if the symptoms are also mild). [ 4 ] [ 5 ] Oral contrast instillation into the colon/ileum under radiological control has been found to reduce the need for surgical intervention.