[…] empty segments of the ileum and distal jejunum twist clockwise around the narrow base of the sigmoid colon. 4 Double volvulus is a condition that rapidly progresses to gangrene of both twisted segments and the most common complications are peritonitis, sepsis [revistagastroenterologiamexico.org]

If the volvulus progresses to intestinal strangulation, patients will exhibit increasing abdominal pain to peritonitis and sepsis. [ncbi.nlm.nih.gov]

[…] study may help in the diagnosis by showing the typical ‘bird’s beak’ appearance. [4, 6 ] Computerised tomogram scan (CT scan) has the highest sensitivity, and will help delineate the closed loop obstruction, marked dilatation of the proximal colon and collapse [tropicalgastro.com]

[…] and a diet simultaneously high in volume and abundant liquid intake. 4 In relation to its pathogeny, it is suggested that when the abovementioned diet is ingested, it progresses through segments of the jejunum, making them heavier, and causing their collapse [revistagastroenterologiamexico.org]

The descending colon appears collapsed. The distribution of the large bowel dilatation raises the possibility of proximal descending colon obstruction. Figure 2 Abdominal CT provides a differential of a colo-colic intussusception or volvulus. [wjes.biomedcentral.com]

Intraoperative findings were a sigmoid volvulus and to our surprise a concurrent transverse colon volvulus with a non-distended cecum and collapsed small bowels. [academic.oup.com]

If gangrene is encountered, which can occur in 23 to 100% of cases, resection is mandatory. 49 If the patient's ability to heal is compromised by malnutrition, anemia, chronic steroids, or other conditions, resection with ileostomy, with or without mucous [ncbi.nlm.nih.gov]

Like plain films, CT may reveal the coffee bean and bird beak signs, as well as the whirl sign, which is the radiographic interpretation of a soft tissue mass containing swirling strands of soft tissue and fat attenuation. [ncbi.nlm.nih.gov]

Abnormal posture in children with cerebral palsy may also be a contributory factor for distention of the colon [ 6 ]. Our patient had a related risk factor of scoliokyphosis with cerebral palsy. [synapse.koreamed.org]

This was a case of cerebral palsy who initially presented with transverse colon volvulus and resection and colocolic anastomosis was performed following which he developed a sigmoid volvulus. [academic.oup.com]

palsy N/A Resection with primary anastomosis 13 Jornet 2003 12 M distension nil 180 Detorsion 14 Liolios 2003 10 F vomiting constipation distension trisomy 13, mental retardation, chronic constipation 360 clockwise Detorsion. [wjes.biomedcentral.com]

She returned 3 weeks later due to sudden abdominal pain, distension, fecaloid vomiting, and dehydration of 2-day progression. [revistagastroenterologiamexico.org]

Case Presentation A fifteen year old boy presented with a three day history of left sided abdominal pain, constipation and vomiting to the pediatricians. Over the preceding year he had several episodes of intermittent abdominal pain. [wjes.biomedcentral.com]

pain, bilious vomiting and obstipation for duration of one day. [tropicalgastro.com]

In the emergency department, a person presenting with abdominal pain may initially require IV fluids due to decreased intake secondary to abdominal pain and possible emesis or vomiting. [12] Treatment for abdominal pain includes analgesia, such as non-opioid [en.wikipedia.org]

abdominal pain, bilious vomiting and obstipation for duration of one day. [tropicalgastro.com]

Diagnosis is often delayed by the denial of usual radiographic techniques in fear of damage to the fetus. [ncbi.nlm.nih.gov]

A gas-filled appendix may also be seen. 36 In pregnant patients, the enlarged uterus may displace a mobile cecum out of the pelvis, and obstruction may occur from the kinking of the colon at a fixed point. [ncbi.nlm.nih.gov]

[…] mesentery, congenital errors of midgut rotation); mechanical (previous surgery, adhesions, distal obstruction) and physiological (chronic constipation, pregnancy, colitis), it can rotate, leading to a closed loop obstruction, gangrene or even perforation in neglected [tropicalgastro.com]