When the intestine rotates or partially twists together with the mesentery around the axis, which is accompanied by a violation of blood flow, obstruction of the intestine in acute form occurs, otherwise - inversion of the intestines. Symptoms of this condition if the bowel is rotated 180 degrees or more can become life threatening. Inversion of intestines can occur in anyone, including young children as a result of inferior peristalsis. The condition can lead to tissue necrosis, peritonitis and even cause death.
Gut Inversion: Symptoms
The very first and most important symptom is cramping abdominal pain. Soon, the temperature rises significantly, nausea and vomiting appear (sometimes with blood). The second sign is gas and stool retention. These are common symptoms, but in general they depend on the twisting of which gut.
Gut Inversion: Causes
Sudden turns of the body shell, a sharp change in posture, severe constipation, damage to the peritoneum of a mechanical nature, excessive filling of the intestines with food can lead to this condition. Often, intestinal torsion occurs in men over the age of forty, in whom solid rough food predominates in the diet. In most cases, gut twisting happens at night. It largely depends on the state of the mesentery - its perpendicular or narrow attachment, the development of scars, wrinkling contribute to inversion, since in these cases the loops come closer together and the part of the mesentery and intestine becomes longer. In addition, an increase due to physical exertion, for example, when lifting weights, intra-abdominal pressure, as well as an increase due to overflow of the intestine with indigestible voluminous food of peristalsis, can contribute to the development of acute obstruction in the intestine .
Small intestine inversion
It occurs most often, while it is characterized by the most severe symptoms. Suddenly, severe pain occurs in the navel. There is a delay in bowel movements, gas, bloating, vomiting are observed. Torsion of the intestines, the symptoms of which include a decrease in blood pressure, blanching of the skin, increased heart rate, can occur even with twisting of only one loop of the small intestine.
Sigmoid Inversion
In this case, the pathological condition is often preceded by chronic constipation. Symptoms manifest vigorously: sharp pain and tension occur in the abdomen, gas exhaustion completely stops, stool is absent, bloating increases, and breathing is difficult. After an inversion of the intestines has occurred, general symptoms for some time may be weakly expressed, their intensity depends on the degree of intestinal twisting.
Treatment
The condition requires surgical emergency intervention. In the case of inversion of the sigmoid colon, you can try to eliminate it by using siphon enemas. If effectiveness is not observed, laparoscopic (by puncture of the abdominal wall) or surgical (by incision of the abdominal wall) operation is indicated.