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Sigmoid volvulus is the most-common form of volvulus of the gastrointestinal tract. [13] and is responsible for 8% of all intestinal obstructions. [citation needed] Sigmoid volvulus is particularly common in elderly persons and constipated patients. Patients experience abdominal pain, distension, and absolute constipation.
Mechanical obstruction is the cause of about 5 to 15% of cases of severe abdominal pain of sudden onset requiring admission to hospital. [1] [2] Causes of bowel obstruction include adhesions, hernias, volvulus, endometriosis, inflammatory bowel disease, appendicitis, tumors, diverticulitis, ischemic bowel, tuberculosis and intussusception.
Dolichocolon may predispose to abnormal rotation (see volvulus) and interposition between the diaphragm and the liver (see Chilaiditi syndrome). It is more commonly seen in the elderly, some psychiatric patients or in institutionalised individuals. It is not, however, a part of normal aging. The exact cause remains unknown.
Prompt surgical treatment is necessary for intestinal malrotation when volvulus has occurred: [citation needed] First, the patient is resuscitated with fluids to stabilize them for surgery; The volvulus is corrected (counterclockwise rotation of the bowel), The fibrous Ladd's bands over the duodenum are cut,
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.
Primary vascular causes of bowel infarction, also known as mesenteric ischemia, are due to blockages in the arteries or veins that supply the bowel.Types of mesenteric ischemia are generally separated into acute and chronic processes, because this helps determine treatment and prognosis.
The elderly person's ability to fight infection is weakened as a result. [31] Additionally, they have changed the strength and integrity of their skin and mucous membranes, which are physical barriers to infection. It is well known that older patients experience altered pain perception. [32]
Cecal bascule is a cause of large bowel obstruction where there is folding of the cecum anteriorly over the ascending colon. It is one of two types of cecal volvulus, the other being axial ileocolic. It is caused by rotational torsion of the cecum or ascending colon along its own axis.