Pathology of the Gastrointestinal Tract

2017 Edition
| Editors: Fátima Carneiro, Paula Chaves, Arzu Ensari


  • Gabriel Becheanu
Reference work entry


Abnormal torsion; Twisting


A volvulus is an abnormal twisting of a digestive segment with obstruction of its lumen and/or blood supply. It can occur after birth as a result of a malrotation of a digestive segment or because of the absence of some intraperitoneal visceral ligaments but can be present also in adult life as a consequence of an elongated or abnormally mobile part of the digestive tract or secondary to a local obstacle formed by adhesions, inflammation, or tumors.

Clinical Features

  • Incidence

    In children, volvulus is related to congenital abnormalities which predispose to a laxity of the segment movements, diaphragm anomalies, or other abdominal defects.

    Gastric volvulus is a rare entity with unknown incidence, usually associated with diaphragmatic congenital anomalies and wandering spleen.

    In pregnancy, volvulus is considered the second most common cause of intestinal obstruction.

    Cecal and sigmoid volvulus was reported more common in India, Africa...

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References and Further Reading

  1. Ballantyne, G. H., Brandner, M. D., Beart, R. W., Jr., & Ilstrup, D. M. (1985). Volvulus of the colon. Incidence and mortality. Annals of Surgery, 202(1), 83–92.CrossRefGoogle Scholar
  2. Cirocchi, R., Farinella, E., La Mura, F., Morelli, U., Trastulli, S., Milani, D., Di Patrizi, M. S., Rossetti, B., Spizzirri, A., Galanou, I., Kopanakis, K., Mecarelli, V., & Sciannameo, F. (2010). The sigmoid volvulus: Surgical timing and mortality for different clinical types. World Journal of Emergency Surgery, 5, 1. doi:10.1186/1749-7922-5-1.CrossRefPubMedGoogle Scholar
  3. Halabi, W. J., Jafari, M. D., Kang, C. Y., Nguyen, V. Q., Carmichael, J. C., Mills, S., Pigazzi, A., Stamos, M. J. (2013). Colonic volvulus in the United States: Trends, outcomes and predictors of mortality. Annals of Surgery. doi:10.1097/SLA.obo13e31828c88ac.Google Scholar
  4. Mallick, I. H., & Winslet, M. C. (2004). Ileosigmoid knotting. Colorectal Disease, 6(4), 220–225.CrossRefGoogle Scholar
  5. Türkmen, N., Eren, B., Fedakar, R., & Bulut, M. (2008). Mesenteric volvulus in children: Two autopsy cases and review of the literature. Journal of Ayub Medical College, Abbottabad, 20(2), 133–135.PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  1. 1.Department of Pathology, Fundeni Clinical InstituteCarola Davila University of Medicine and PharmacyBucharestRomania