Definition

A volvulus is when a loop of intestine twists around itself and the tissue that supports and connects it to the back wall of the abdomen. This cuts off blood supply and blocks the intestine. It must be treated right away.

Causes

The cause is not known.

Risk Factors

Things that may raise the risk of this problem are:

• Problems found at birth, such as:
  • Intestinal malrotation
  • A colon that is longer or larger than normal
  • A colon that is not attached to the abdominal wall properly
• Irregular bowel habits
• Chronic constipation
• High-fiber diet
• Hirschsprung disease
• Prior volvulus

Symptoms

Some children do not have symptoms. Those who do may have:

• Belly pain and swelling
• Bloody stools
• Green or yellow vomit
• Fast breathing and heart rate

Diagnosis

The doctor will ask about your child's symptoms and health history. A physical exam will be done. This may be enough to make the diagnosis.

Images may be taken to confirm the diagnosis. This can be done with:

• Abdominal x-ray
• CT scan
• MRI scan

An endoscopy may be done. It uses a tube with a camera to view inside the intestine.

Treatment

The goal of treatment is to unblock the intestine so the bowel will work as it should. Treatment may be:

Prevention

There are no current methods to prevent this problem.