Difference between revisions of "Volvulus, Intestinal"

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m (Text replace - "[[Small Intestine - Anatomy & Physiology|" to "[[Small Intestine Overview - Anatomy & Physiology|")
 
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* A twist about the long axis of the gut.
 
* A twist about the long axis of the gut.
* Generally in the [[Small Intestine - Anatomy & Physiology|small intestine]].
+
* Generally in the [[Small Intestine Overview - Anatomy & Physiology|small intestine]].
 
* Intense congestion
 
* Intense congestion
 
** Often almost black.
 
** Often almost black.
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* Bowel becomes hypoxic.[[Image:Large_colon_torsion_horse.jpg|thumb|right|150px|Torsion of the large colon in the horse (Courtesy of Elspeth Milne)]]
 
* Bowel becomes hypoxic.[[Image:Large_colon_torsion_horse.jpg|thumb|right|150px|Torsion of the large colon in the horse (Courtesy of Elspeth Milne)]]
 
** Toxic material and bacteria pass through the anoxic wall of bowel.
 
** Toxic material and bacteria pass through the anoxic wall of bowel.
* In piglets may see whole of [[Small Intestine - Anatomy & Physiology|small intestine]] twisted around root of mesentery.
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* In piglets may see whole of [[Small Intestine Overview - Anatomy & Physiology|small intestine]] twisted around root of mesentery.
 
** Very little can be done to resolve this** Produces rapid death[[Category:Intestine_-_Physical_Disturbances]]
 
** Very little can be done to resolve this** Produces rapid death[[Category:Intestine_-_Physical_Disturbances]]
 
[[Category:To_Do_-_Clinical]]
 
[[Category:To_Do_-_Clinical]]

Latest revision as of 12:59, 7 September 2010

  • A twist about the long axis of the gut.
  • Generally in the small intestine.
  • Intense congestion
    • Often almost black.
  • Mostly in young animals
    • Especially calves and piglets
    • Occasionally sheep and dogs.
    • Occasionally in greater mesentery of horse.

Pathogenesis

  • Loop of bowel twists through 180 degrees around mesentery to produce obstruction of lumen.
  • Proximal the the obstruction, the bowel becomes rapidly distended.
    • Venous return is first shut off, but the arterial supply remains.
      • Bowel becomes engorged with blood.
    • Produces rapid death.
  • Bowel becomes hypoxic.
    Torsion of the large colon in the horse (Courtesy of Elspeth Milne)
    • Toxic material and bacteria pass through the anoxic wall of bowel.
  • In piglets may see whole of small intestine twisted around root of mesentery.
    • Very little can be done to resolve this** Produces rapid death