Intestinal torsion

Intestinal volvulus is a serious condition in which one or more segments of the intestine twist around their axis, most often involving the sigmoid colon or small intestine. This condition requires immediate medical intervention, as it can lead to tissue necrosis, peritonitis, and even death.

A twisted intestine often causes complete or partial obstruction, blocking the movement of food and liquids. This is dangerous due to toxin accumulation, as well as necrosis and perforation of the intestinal walls caused by disrupted blood flow.

Intestinal volvulus can occur due to several factors:

1. Individual anatomical features, such as an elongated mesentery, increase the risk of intestinal twisting.
2. Severe intestinal spasms caused by poor diet, infections, or chronic gastrointestinal diseases can act as a trigger.
3. Consuming large amounts of food after a long period of fasting can disrupt peristalsis and cause obstruction.
4. Volvulus of the colon or small intestine often occurs in the presence of tumors, adhesions, or hernias.

Additionally, prolonged constipation and overuse of laxatives can also provoke intestinal twisting. In some cases, spinal or pelvic fractures may lead to this condition.

Intestinal volvulus, sometimes referred to as stomach twisting in layman’s terms, can be challenging to identify without proper expertise, as its symptoms closely resemble those of other gastrointestinal diseases. However, vigilance is crucial in this case, and if you experience one or more of the following symptoms, you should seek medical attention immediately:

• Sudden severe abdominal pain.
• Absence of stool and gas.
• Nausea and vomiting, sometimes with bile.
• Mucus or blood in the stool.
• Fever up to 39°C (102°F).
• General deterioration: weakness, tachycardia, and low blood pressure.

Only a doctor can accurately determine whether the volvulus involves the small intestine or colon and recommend appropriate treatment. A visit to a specialist should not be delayed.

For such a condition, you should consult a gastroenterologist, either on your own or by referral from a general practitioner. The examination usually includes a physical evaluation, laboratory tests, and instrumental methods like abdominal X-rays or CT scans.

To confirm suspicions of small intestine, rectal, or colonic volvulus, the doctor may also prescribe a barium enema, complete blood count, endoscopic examination, diagnostic laparoscopy, or ultrasound of the abdominal organs.

The speed of conducting all tests and imaging studies is critical since timely medical assistance is vital for this condition. In such cases, there is no time to wait in queues, so it’s better to visit a clinic where appointments are quick and convenient, and diagnostics are carried out professionally in the shortest possible time.

The treatment depends on the stage of the condition and the patient’s overall health. In most cases, emergency surgery is required: the twisted intestine is untangled surgically, and normal blood circulation in the tissues is restored to prevent complications.

Additionally, a gastric tube may need to be inserted, siphon enemas administered, or medications like antispasmodics, antiemetics, and painkillers prescribed. The doctor decides on the course of treatment based on the individual characteristics of each case.

The condition must be treated in a hospital setting, followed by a rehabilitation period of approximately 6–8 weeks. Postoperative care includes a special diet, avoiding heavy physical activity, and adhering to preventive measures to avoid recurrence.

Ignoring the problem can lead to complications such as general intoxication, dehydration, intestinal perforation and peritonitis, as well as gangrene and sepsis. Without proper treatment, such situations can be life-threatening.

It’s important to note that the condition progresses very quickly, and any delay can be fatal. The most favorable time for successful treatment with minimal complications is within the first 12 hours after symptoms appear.

In some cases, early intervention can even prevent the need for surgery if the twisted intestine can be untangled. However, the later the problem is identified, the more complex the treatment and recovery process will be. Therefore, it is highly recommended to monitor your health closely and respond promptly to even minor changes in your well-being.

If you suspect a twisted stomach or intestine, seek medical attention immediately. Our specialists are highly qualified and have extensive practical experience to help restore your health and prevent dangerous complications.

Our medical center offers a comprehensive approach to diagnosing and treating intestinal volvulus, utilizing modern methods to minimize risks and accelerate recovery.

“NEW LIFE” specialists have access to state-of-the-art equipment for performing surgical interventions of varying complexity, while our patients benefit from comfortable post-operative care facilities. Book an appointment today using any convenient method to safeguard your health or the health of your loved ones.