What can happen when the colonic volvulus is not removed?
The untreated twist can cause impediment of blood supply to the bowel leading to tissue death (necrosis), bowel perforation, infection (peritonitis), sepsis, and could cause life-threatening complications.
Diagnosis colonic volvulus?
Doctors use abdominal X-rays and CT scans to identify the location and spread of the twist. The other tests that can be undergone to confirm the diagnosis are; a flexible scope (sigmoidoscopy or colonoscopy) and in some cases, to remove the volvulus.
Is colonic volvulus common?
In the U.S. colonic volvulus is not very widespread. It is more commonly diagnosed in the elderly or in the chronic constipated, in patients who have had an abdominal surgery in the recent past, or in patients who have several anatomical anomalies of the colon.
Could children develop colonic volvulus?
Yes, although it's uncommon. In children, abdominal pain is acute, extreme, bloating, nausea, and gastric impossibility. The evaluation is to be conducted in time.
What is the recovery following volvulus?
The majority of patients who underwent corrective surgery (e.g. sigmoidectomy) or had their surgery are spending no less than 3-5 days in the hospital. Recovery is composed of pain management, gradual increase to regular diet with clear liquids and repeated visits to review progress of recovery.
Are there non surgical management of colonic volvulus?
Yes. In the majority of cases, endoscopic detorsion can be performed by a gastroenterologist when it comes to the situation where a flexible tube can be employed to unwind the colon. The IV fluids and bowel rest are beneficial to the patient as the colon heals up.
What can I do to prevent the occurrence of the colonic volvulus?
Consume lots of fiber, maintain hydration and never to strain too much during bowel movements and be regularly checked. In case you are at high risk, your doctor may suggest dietary changes or frequent monitoring.
Is it more harmful than other types of volvuli which do the sigmoid volvulus?
Sigmoid volvulus is very common as that part of colon is mobile in nature. Otherwise, it is at a higher risk of ischemia and perforation. Early intervention reduces these risks.
Under what circumstances would I go to the emergency room?
In case of acute and severe abdominal pain or cramps, chronic vomiting, abdominal distension, the inability to produce any gas or stool in the long run, emergency treatment is required.
Does colonic volvulus cause any long term problem?
In most instances, it is possible that people heal because of timely treatment. The effects of not receiving care in time would be problems such as volvulus recurrence, adhesions or permanent ostomy in severe cases.
Medically Reviewed by
Dr. Bharat Pothuri, MD, FACG
| Updated 03-17-2026