Twisted intestine, also known as intestinal volvulus or twisted bowel, is a medical emergency that requires immediate treatment. The condition occurs when a segment of the intestine twists around itself, leading to a blockage of the bowel and disruption of blood flow to the affected area. If left untreated, it can cause severe complications such as tissue death and perforation of the bowel, leading to life-threatening infections.
The treatment for twisted intestine typically involves surgery to untwist the affected segment and restore blood flow. Here's an overview of the treatment process:
Emergency Medical Care: If someone presents with symptoms of a twisted intestine, such as severe abdominal pain, bloating, vomiting, and absence of bowel movements, they should seek immediate medical attention. In an emergency room, doctors will assess the patient's condition and stabilize them before proceeding with further evaluation and treatment.
Diagnostic Tests: The healthcare team will perform various diagnostic tests to confirm the diagnosis and determine the location and extent of the twist. Imaging tests like X-rays, CT scans, and ultrasounds can help visualize the affected area and assess the blood flow.
Surgery: Surgery is the primary treatment for twisted intestine. The surgical procedure, known as a bowel resection or detorsion, involves untwisting the twisted portion of the intestine and restoring its proper position. In some cases, a small portion of the bowel may need to be removed if it is severely damaged.
Possible Bowel Resection: If the blood flow to the twisted segment has been severely compromised, and the tissue is damaged beyond repair, a bowel resection may be necessary. During this procedure, the damaged part of the intestine is removed, and the healthy ends are reconnected (anastomosis). In some cases, a temporary or permanent colostomy or ileostomy (an artificial opening for waste elimination) may be required.
Postoperative Care: After surgery, the patient will be closely monitored in the hospital. They may receive intravenous fluids, pain medications, and antibiotics to prevent infections.
Recovery and Rehabilitation: The recovery period will vary depending on the severity of the twisted intestine and the extent of surgical intervention. Physical activity and dietary changes may be necessary to aid recovery and prevent future complications.
Remember, twisted intestine is a medical emergency, and immediate medical attention is crucial. If you suspect someone has a twisted intestine or is experiencing severe abdominal pain and other symptoms, seek emergency medical care promptly.