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Intestinal Obstruction (Volvulus)

Diagnosis, symptoms, and treatment methods.

General Information About Intestinal Obstruction

Intestinal obstruction (Ileus/Volvulus) is the physical blockage of the small or large intestine or its twisting around its own axis, completely stopping the passage of food, fluid, and gas. It is a vital emergency that can lead to the necrosis (decay) of the intestinal tissue by cutting off the blood flow. Patients presenting with severe abdominal pain and vomiting are treated in our General Surgery unit with emergency endoscopic unwinding or surgical operations.

Disease Details and Frequently Asked Questions

You can find detailed information about the disease under the headings below.
What is Intestinal Obstruction?

It is the condition where the pipe-like working structure of the digestive system becomes completely blocked and unworkable due to the intestine twisting around itself, tumors, or hernias.

Why Does It Occur?

In adults, the most common cause is intra-abdominal adhesions resulting from previous abdominal surgeries. Additionally, bowel cancers, strangulated hernias, and the twisting of the intestine around itself (volvulus) create a blockage.

What Are the Symptoms?

Sudden onset of severe, cramp-like abdominal pain, vomiting that is bilious or smells like stool, swelling of the abdomen like a drum, and the patient's absolute inability to pass gas or stool.

Is it Life-Threatening?

Yes, it is a very urgent situation. If blood circulation stops in the obstructed area, the intestinal tissue decays (necrosis) within a few hours and perforates, causing the entire contents to spread into the abdominal cavity (peritonitis).

How is it Diagnosed?

Following a physical examination, the exact location and cause of the obstruction are quickly determined with an emergency Standing Direct Abdominal X-ray and an Abdominal CT with contrast.

How is it Treated?

In mild adhesions, a tube is placed in the stomach to rest the intestines, and fluid therapy is given. In complete blockages, the twisted part is opened with emergency surgery before tissue decay begins, or the damaged part of the intestine is surgically removed.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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