Volvulus (peds) - Revision history

Ostermayer at 17:15, 17 January 2026

2026-01-17T17:15:32Z

← Revisión anterior		Revisión del 17:15 17 ene 2026
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	<translate>		<translate>
	</translate>		</translate>
	{{~~Peds top~~}}		{{PediatricPage\|volvulus}}
	<translate> ~~[[Special:MyLanguage/volvulus\|volvulus]].''~~		<translate>

	==Background==		==Background==

Ostermayer: Prepared the page for translation

2026-01-05T00:03:40Z

Prepared the page for translation

← Revisión anterior		Revisión del 00:03 5 ene 2026
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	{{Peds top}} [[volvulus]].''		<languages/>
			<translate>
			</translate>
			{{Peds top}}
			<translate> [[Special:MyLanguage/volvulus\|volvulus]].''

	==Background==		==Background==

	*2 types: Sigmoid and cecal volvulus		*2 types: Sigmoid and cecal volvulus
	*Surgical emergency		*Surgical emergency
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	**1st month of life: 50%		**1st month of life: 50%
	**1st year of life: 85%		**1st year of life: 85%


	==Clinical Features==		==Clinical Features==
	*Classic Triad: [[Abdominal pain (peds)\|abdominal pain]], increased abdominal distention, [[Constipation (peds)\|constipation]]
	*Alternative Presentation: bilious [[Nausea and vomiting (peds)\|vomiting]], abdominal distension, tenderness, and a palpable mass		*Classic Triad: [[Special:MyLanguage/Abdominal pain (peds)\|abdominal pain]], increased abdominal distention, [[Special:MyLanguage/Constipation (peds)\|constipation]]
			*Alternative Presentation: bilious [[Special:MyLanguage/Nausea and vomiting (peds)\|vomiting]], abdominal distension, tenderness, and a palpable mass
	**Vomiting seen in 50% of cases		**Vomiting seen in 50% of cases
	*[[Pediatric shock\|Shock]] and [[peritonitis]] if perforated		*[[Special:MyLanguage/Pediatric shock\|Shock]] and [[Special:MyLanguage/peritonitis\|peritonitis]] if perforated


	==Differential Diagnosis==		==Differential Diagnosis==

			</translate>
	{{Pediatric abdominal pain DDX}}		{{Pediatric abdominal pain DDX}}
			<translate>
			</translate>
	{{Constipation DDX}}		{{Constipation DDX}}
			<translate>


	==Evaluation==		==Evaluation==


	===Imaging===		===Imaging===

	*Should not delay surgical consult		*Should not delay surgical consult
	*[[KUB\|Abdominal XR]]		*[[Special:MyLanguage/KUB\|Abdominal XR]]
	**Sigmoid volvulus		**Sigmoid volvulus
	***Classically see "coffee bean sign" - large, distended colon with gas that seems to be bent over itself, making coffee bean shape		***Classically see "coffee bean sign" - large, distended colon with gas that seems to be bent over itself, making coffee bean shape
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	**Usually not necessary in cecal volvulus		**Usually not necessary in cecal volvulus
	**May be helpful in diagnosis of sigmoid volvulus, look for "whirl sign"		**May be helpful in diagnosis of sigmoid volvulus, look for "whirl sign"


	==Management==		==Management==

	*Emergent surgical consult		*Emergent surgical consult
	*Place [[NG tube]]		*Place [[Special:MyLanguage/NG tube\|NG tube]]
	*[[Fluid resuscitation]]		*[[Special:MyLanguage/Fluid resuscitation\|Fluid resuscitation]]
	*[[Antibiotics]] if gangrenous bowel is suspected (triple coverage with ampicillin, gentamicin, metronidazole)		*[[Special:MyLanguage/Antibiotics\|Antibiotics]] if gangrenous bowel is suspected (triple coverage with ampicillin, gentamicin, metronidazole)
	*Sigmoid volvulus may be managed non-operatively by endoscopic detorsion		*Sigmoid volvulus may be managed non-operatively by endoscopic detorsion
	**Successful in 50-90% of cases		**Successful in 50-90% of cases
	**Contraindicated if perforation or gangrenous bowel suspected		**Contraindicated if perforation or gangrenous bowel suspected
	*All cases of cecal volvulus should be managed operatively		*All cases of cecal volvulus should be managed operatively


	==Disposition==		==Disposition==

	*Admit		*Admit


	==See Also==		==See Also==
	*[[Abdominal Pain (Peds)]]
	*[[Volvulus (Adults)]]		*[[Special:MyLanguage/Abdominal Pain (Peds)\|Abdominal Pain (Peds)]]
			*[[Special:MyLanguage/Volvulus (Adults)\|Volvulus (Adults)]]


	==References==		==References==

	<references/>		<references/>

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	[[Category:GI]]		[[Category:GI]]
	[[Category:Surgery]]		[[Category:Surgery]]
			</translate>

Rossdonaldson1 at 19:15, 23 January 2020

2020-01-23T19:15:34Z

← Revisión anterior		Revisión del 19:15 23 ene 2020
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	~~''This page is for '''pediatric''' patients; for adult patients see~~ [[volvulus]].''		{{Peds top}} [[volvulus]].''
	==Background==		==Background==
	*2 types: Sigmoid and cecal volvulus		*2 types: Sigmoid and cecal volvulus

SuperD: /* Imaging */

2020-01-13T20:01:22Z

Imaging

← Revisión anterior		Revisión del 20:01 13 ene 2020
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	***Can also perform contrast enema, look for "bird beak" sign		***Can also perform contrast enema, look for "bird beak" sign
	***Frimann Dahl's sign		***Frimann Dahl's sign
	***Absent rectal ~~gass~~		***Absent rectal gas
	**Cecal volvulus		**Cecal volvulus
	***May see findings similar to small bowel obstruction		***May see findings similar to small bowel obstruction

ClaireLewis: /* Evaluation */

2019-10-06T21:27:17Z

Evaluation

← Revisión anterior		Revisión del 21:27 6 oct 2019
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	===Imaging===		===Imaging===
	*Should not delay surgical consult		*Should not delay surgical consult
	*Abdominal XR		*[[KUB\|Abdominal XR]]
	**Sigmoid volvulus		**Sigmoid volvulus
	***Classically see "coffee bean sign" - large, distended colon with gas that seems to be bent over itself, making coffee bean shape		***Classically see "coffee bean sign" - large, distended colon with gas that seems to be bent over itself, making coffee bean shape

ClaireLewis at 16:53, 30 September 2019

2019-09-30T16:53:10Z

← Revisión anterior		Revisión del 16:53 30 sep 2019
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	==Management==		==Management==
	*Emergent surgical consult		*Emergent surgical consult
	*Place NG tube		*Place [[NG tube]]
	*Fluid resuscitation		*[[Fluid resuscitation]]
	*Antibiotics if gangrenous bowel is suspected (triple coverage with ampicillin, gentamicin, metronidazole)		*[[Antibiotics]] if gangrenous bowel is suspected (triple coverage with ampicillin, gentamicin, metronidazole)
	*Sigmoid volvulus may be managed non-operatively by endoscopic detorsion		*Sigmoid volvulus may be managed non-operatively by endoscopic detorsion
	**Successful in 50-90% of cases		**Successful in 50-90% of cases
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	[[Category:Pediatrics]]		[[Category:Pediatrics]]
	[[Category:GI]]		[[Category:GI]]
			[[Category:Surgery]]

ClaireLewis: /* Clinical Features */

2019-08-25T21:54:51Z

Clinical Features

← Revisión anterior		Revisión del 21:54 25 ago 2019
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	*Alternative Presentation: bilious [[Nausea and vomiting (peds)\|vomiting]], abdominal distension, tenderness, and a palpable mass		*Alternative Presentation: bilious [[Nausea and vomiting (peds)\|vomiting]], abdominal distension, tenderness, and a palpable mass
	**Vomiting seen in 50% of cases		**Vomiting seen in 50% of cases
	*[[Shock]] and [[peritonitis]] if perforated		*[[Pediatric shock\|Shock]] and [[peritonitis]] if perforated

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1 at 21:51, 24 June 2019

2019-06-24T21:51:15Z

← Revisión anterior		Revisión del 21:51 24 jun 2019
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			''This page is for '''pediatric''' patients; for adult patients see [[volvulus]].''
	==Background==		==Background==
	*2 types: Sigmoid and cecal volvulus		*2 types: Sigmoid and cecal volvulus

Rossdonaldson1: /* Differential Diagnosis */

2019-06-24T21:08:59Z

Differential Diagnosis

← Revisión anterior		Revisión del 21:08 24 jun 2019
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	==Differential Diagnosis==		==Differential Diagnosis==
	{{Pediatric abdominal pain DDX}}		{{Pediatric abdominal pain DDX}}
			{{Constipation DDX}}

	==Evaluation==		==Evaluation==

Spenceemmett: /* Imaging */

2018-12-16T21:42:37Z

Imaging

← Revisión anterior		Revisión del 21:42 16 dic 2018
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	*Abdominal XR		*Abdominal XR
	**Sigmoid volvulus		**Sigmoid volvulus
	***Classically see "coffee bean sign", large, distended colon with gas that seems to be bent over itself, making coffee bean shape		***Classically see "coffee bean sign" - large, distended colon with gas that seems to be bent over itself, making coffee bean shape
	***Can also perform contrast enema, look for "bird beak" sign		***Can also perform contrast enema, look for "bird beak" sign
	***Frimann Dahl's sign		***Frimann Dahl's sign