Volvulus A volvulus occurs when part of the colon or intestine twists. The twisting causes bowel obstructions that may cut off the blood supply to areas of the bowels. A volvulus is a medical emergency that needs surgical treatment. If left untreated, the parts of the bowels that are not receiving enough blood will start to die. Symptoms of volvulus include the following: abdominal pain and tenderness, vomiting green bile, nausea, distended abdomen, bloody stool, constipation, and shock (Fletcher and Sethi, 2018). Patient’s CT scan ruled out the diagnosis of volvulus.
Incarcerated Hernia The most common presentation of hernia is a swelling or bugle at an unusual area in the body. Depending on the type of hernia, it can either be reducible in nature or irreducible. No attempt should be made by the patients to manually reduce the hernia. A hernia protruding from mid-abdominal region that is located centrally is called an umbilical hernia, which if associated with altered sensorium and obesity pose high risk of incarceration. An incarcerated hernia may cause the following signs and symptoms: painful swelling or bulge or enlargement of a previous hernia or defect, cannot be reduced, if accompanied with nausea, vomiting, it points to possible signs of bowel obstruction, peritoneal signs and intestinal obstruction are suggestive of incarcerated hernia (Yoshida, Yanai, Tei, and Yamataka, 2018). Patient has reducible umbilical hernia, so incarceration is unlikely.
References Fletcher, J., and Sethi, S. (2018). What causes a volvulus? MedicalNewsToday . Retrieved from Kim, H. I., Kim, S. W., Jeon, H. R., and Jung, D. W. (2017). Motor and cognitive developmental profiles in children with Down syndrome. NCBI . Retrieved from doi: 10.5535/arm.2017.41.1.97 Martin, K., & Weiss, S. L. (2015). Initial resuscitation and management of pediatric septic shock. NCBI . Retrieved from Yoshida, S., Yanai, T., Tei, E., and Yamataka, A. (2018). Incarceration of hernias in infants. Journal of Pediatric Surgery. Retrieved from Zeanah, C. H., and Humphreys, K. L. (2016). Child Abuse and neglect. Journal of the American Academy of Child & Adolescent Psychiatry . Retrieved from (18)30333-2/fulltext DOI:
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- Summer '17
- Down syndrome, Bowel obstruction, Umbilical hernia