Learning About Volvulus in Infants

What is volvulus?

Volvulus is a twisting of the intestine that causes a bowel obstruction. It can be a complication of a birth defect called malrotation, which happens when the intestines twist into the wrong position while the fetus is still in the uterus. Or sometimes an infant's intestine can twist on itself.

Volvulus is an emergency, and your baby will need surgery right away. The twisting of the intestine can cut off blood flow and lead to death of the tissue of the intestine. It can make your baby very sick very quickly.

What are the symptoms?

If your baby has volvulus, your baby may seem fussy at first but can get very sick quickly. Symptoms include:

• Belly pain.
• Green vomit.
• A swollen belly.
• No stools, or bloody stools.
• Extreme fussiness or crying that can't be comforted.

How is volvulus treated?

Volvulus is treated with surgery. The doctor untwists the intestine and removes any part of it that has died. The healthy ends of the intestine are sewn back together. In some cases a second surgery is needed within 1 or 2 days.

Your baby will probably be in the hospital for several days after the surgery.

Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and contact your doctor if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.