Volvulus is described as a wrench. In medical phrases, colonic volvulus is described as the wrenching of the colon. This takes place as a result of the barrier of the colon. Colonic volvulus is primarily separated into sigmoid volvulus and cecal volvulus, concerning the location of the wrench or the barrier. Sigmoid volvulus is defined as the wrenching of the sigmoid colon of the big intestine. Cecal volvulus occurs because of the torsion triggered in the cecum region. The significant difference between sigmoid and cecal volvulus is the location of the volvulus or wrench in the bowel. The sigmoid volvulus is the wrench in the sigmoid colon, while the cecal volvulus is the wrench in the cecum region. These two processes lead to bowel blockades.
What is Sigmoid Volvulus?
Sigmoid volvulus is one of the primary aspects of bowel blockade. It can be described as the wrench in the sigmoid colon on its mesentery. Sigmoid volvulus is the primary method discovered among individuals in the united states of America and Western Europe. The sigmoid colon is the juncture where it creates an intersection with the descending colon and the rectum. As such, it is an excellent site for a wrench to occur, leading to sigmoid volvulus. The extended mesentery of the sigmoid colon can also be an aspect of the sigmoid volvulus. The noose must be f substantial, and the mesocolon has to be lengthy and inflexible for the construction. The medical indications for sigmoid volvulus are big bowel blockades, belly swelling, constipation, nausea, and vomiting. The beginning of the symptoms can be moderate or severe. The triggers of sigmoid volvulus are geographically particular causes, severe constipation, and too many fiber-increased diets. The sigmoid volvulus is also connected with severe neurological and psychiatric ailments. The diagnosis of this disorder occurs through abdominal radiographs. These radiographs exhibit broadened noose of the colon. The treatment of this disorder has to do with endoscopic detorsion. The detorsion can be carried out through barium enema, a kind of x-ray imaging, colonoscopy, rigorous proctoscopy, and flexible sigmoidoscopy.
What is Cecal Volvulus?
Cecal volvulus occurs when torsion is formed in the cecum surrounding the mesentery. This leads to bowel blockade; if unspecified, it can lead to bowel perforation and fecal peritonitis. Cecal volvulus records almost 10 percent of every intestinal volvulus. Cecal volvulus is more regular among younger and older patients, whereas it is the reverse in the sigmoid volvulus. When it comes to cecal volvulus, the cecum wrench and inverts. The wrench takes over the left upper quadrants of the stomach. The ileum’s aerodrome stop is also wrenched along with the cecum in most events. Cecal volvulus possesses another variant of the disorder described as the cecal bascule. This takes place when the cecum experience folding without any torsion being formed. Cecal bascule is dominant among 10 percent of the populace that exhibit indication of volvulus. The indication of cecal volvulus has to do with stomach pain, stomach distention, and vomiting. The management is detorsion of the bowel, even though there are several opportunities whereby the findings can occur again after the treatment.
Difference Between Sigmoid and Cecal Volvulus
- Sigmoid volvulus is the wrenching of the sigmoid colon of the big intestine. Cecal volvulus occurs due to the torsion triggered in the cecum region.
- Sigmoid volvulus can change position upwards and move to the right upper quadrants. Cecal volvulus can change status to any location and can also be found in the pelvic region.
- The populace of older adults is often influenced by sigmoid volvulus, while the cecal volvulus usually affects younger patients.