## Overview Small intestinal volvulus is twisting of the small intestine on its mesenteric axis, strangulating the blood supply. It causes severe acute colic, rapid deterioration, and reflux. It is a surgical emergency. Delay results in extensive bowel death. ## Causes Unknown. Altered motility may predispose. ## Diagnosis Clinical signs and ultrasound showing distended small intestine. Confirmed at surgery. ## Treatment Immediate surgical correction and resection of non-viable intestine. ## Recovery and Prognosis Guarded. Depends on the length of compromised bowel and time to surgery. ## Prevention None.
severe acute colic; rapid deterioration; nasogastric reflux; surgical emergency
## Overview Small intestinal volvulus is twisting of the small intestine on its mesenteric axis, strangulating the blood supply. It causes severe acute colic, rapid deterioration, and reflux. It is a surgical emergency. Delay results in extensive bowel death. ## Causes Unknown. Altered motility may predispose. ## Diagnosis Clinical signs and ultrasound showing distended small intestine. Confirmed at surgery. ## Treatment Immediate surgical correction and resection of non-viable intestine. ## Recovery and Prognosis Guarded. Depends on the length of compromised bowel and time to surgery. ## Prevention None.
severe acute colic; rapid deterioration; nasogastric reflux; surgical emergency