Abstract
Colonic volvulus represents 10 to 15% of all large bowel obstructions in the United
States. It most commonly occurs in the sigmoid colon or cecum. Morbidity and mortality
from colonic volvulus are high. It is therefore essential to have a high level of
suspicion based on presentation and expedient diagnosis and management to prevent
progression to ischemia or perforation. Broad goals of management include evaluation
of colon viability, relief of obstruction, and prevention of recurrence. Endoscopic
and surgical approaches vary based on the site of volvulus, presence of ischemia or
perforation, and patient characteristics. This review outlines the epidemiology, presentation,
diagnosis, and management of colonic volvulus. A contemporary diagnostic and treatment
algorithm is included.
Keywords
volvulus - colonic volvulus - sigmoid volvulus - cecal volvulus
