What are the signs and symptoms of sigmoid and cecal volvulus?

Updated: Nov 28, 2018
  • Author: Scott C Thornton, MD; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

The presentation of volvulus is much the same, regardless of its anatomic site. Cramping abdominal pain, distention, obstipation, and constipation are present. With progressive obstruction, nausea and vomiting occur. The development of constant abdominal pain is ominous and indicates the development of a closed-loop obstruction with significant intraluminal pressure. This, in turn, portends the development of ischemic gangrene and bowel wall perforation.


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