Which physical findings are characteristic of acute midgut volvulus?

Updated: Dec 19, 2018
  • Author: Denis D Bensard, MD, FACS, FAAP; Chief Editor: Carmen Cuffari, MD  more...
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  • This is usually associated with abdominal distention with diffuse tenderness and guarding on examination.

  • Prolonged volvulus leads to vascular compromise, which can cause intraluminal bleeding evidenced by melena and/or hematemesis.

  • Worsening intestinal ischemia can lead to signs of shock including poor perfusion, decreased urine output, hypotension, elevated lactate, and base deficit.

  • Other signs of intestinal ischemia include peritonitis and discoloration of the skin.

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