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Alternative Names Return to topChildhood volvulus
Definition Return to top
A volvulus is a twisting of the intestine that can occur in childhood. It causes a blockage, and may cut off blood flow and damage part of the intestine.
Causes Return to top
A birth defect called intestinal malrotation can make infants more likely to develop a volvulus. However, a volvulus can occur without malrotation.
Volvulus due to malrotation often occurs early in life, usually in the first year.
Symptoms Return to top
Symptoms are usually severe enough that infants are taken early to the emergency room, which can be critical for survival.
Exams and Tests Return to top
Treatment Return to top
Emergency surgery is needed to repair the volvulus. A surgical cut is made in the abdomen. The bowels are untwisted and the blood supply restored.
If a small segment of bowel is dead from a lack of blood flow (necrotic), it is removed. The ends of the bowel are sewn back together. Or, they are used to form a connection of the intestines to the outside, through which bowel contents can be removed (colostomy or ileostomy).
Outlook (Prognosis) Return to top
Diagnosing and treating volvulus quickly generally leads to a good outcome.
If the bowel is dead (necrotic), the outlook is poor. The situation may be life-threatening, depending on how much of the bowel is dead.
Possible Complications Return to top
When to Contact a Medical Professional Return to top
This is an emergency condition. The symptoms of childhood volvulus develop quickly and the child becomes severely ill. Get medical attention immediately.
References Return to top
Peterson MA. Large Intestine. In: Marx J, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 6th ed. Philadelphia, Pa: Mosby Elsevier; 2006:chap 94.Update Date: 8/1/2008 Updated by: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.