Colonic Volvulus

What Is Colonic Volvulus?

Colonic volvulus is a condition where part of the colon twists and blocks the flow of stool and blood. It most often happens in the sigmoid colon, the lower part of the large intestine. This twist can cause swelling, pain, and serious complications if not treated promptly. Fast intervention is crucial to avoid long-term damage.

Common Symptoms

The symptoms often start suddenly and may include:

• Sharp or cramping pain in the lower abdomen, usually on the left side
• Bloating or a visibly swollen belly
• Inability to pass gas or have a bowel movement
• Nausea or vomiting
• Rapid heartbeat or fever, which may signal an emergency

Causes

Several factors increase the risk of developing colonic volvulus:

• An unusually long or overly flexible segment of the sigmoid colon
• Chronic constipation
• Extended periods of immobility or bed rest
• Underlying conditions such as Parkinson's disease or a history of abdominal surgery
• An acute twisting event of the bowel (acute sigmoid volvulus)

Treatment Options for Colonic Volvulus in Cypress

Treatment includes non-surgical and surgical approaches:

• Endoscopic detorsion: A colonoscope is used to gently untwist the affected segment and restore normal stool and gas flow.
• Rectal tube placement: A soft catheter is left in place after detorsion to help keep the colon aligned and reduce the risk of recurrence.
• Supportive care: Intravenous fluids, electrolyte management, bowel rest, and pain relief stabilize your condition before or after intervention.
• Surgical resection: If the colon segment is non-viable or volvulus recurs, the twisted portion is removed and the healthy ends are reconnected.
• Colostomy: In emergency or high-risk cases, an opening (stoma) is created in the abdominal wall to divert stool until healing is complete.
• Follow-up plan: A customized regimen of diet modifications, bowel habits coaching, and periodic imaging helps prevent future twists.