Changes

==Diagnosis==

==Diagnosis==

A diagnosis is strongly confirmed by a right sided abdominal distension, and [[Colic Auscultation|auscultation]]/percussion of tympanitic sounds.

* Right sided abdominal distention

 

On [[Colic Auscultation|auscultation]] of the gastro-intestinal tract, there will be a tympanitic sounds on the right hand side. On rectal examination the distented loops of bowel obstruct the rectum.  

==Treatment==

==Treatment==

The distension can be relieved by [[trocharisation]] of the caecal head, via the right sub-lumbar fossa, which should be performed using ultrasound guidance. starvation and intravenous fluid therapy  

The distension can be relieved by [[trocharisation]] of the caecal head, via the right sub-lumbar fossa, which should be performed using ultrasound guidance. starvation and intravenous fluid therapy  

If the use of a trochar does not relive the distension then the colic should be considered surgical as this condition cannot be distinguished from distension due to surgical displacements of th elarge colon.  

If the use of a trochar does not relive the distension then the colic should be considered surgical as this condition cannot be distinguished from distension due to surgical displacements of th elarge colon.