Excerpt from The Southern Practitioner, Vol. 30: An Independent Monthly Journal Devoted to Medicine and Surgery; April 1908
The etiological factors entering into the cause Of volvulus are numerous.
Fecal impaction stands first upon the list. The waste material fills the fecal reservoir, the upper part Of the filled portion causes it to prolapse upon the lower part, thus bringing the two ends near together, when peristaltic movements twist them upon each other. Of other causes for volvulus, the most active are undue Intestinal peristalsis; a long mesentery; contracting exudate in the mesentery; tumors and bulky, undigestible food stuffs.
The changes that follow a complete closure Of a portion of the intestines by a twisting about the mesenteric axis is congestion due to interference with the venous return, edematous thickening Of all Of the bowel coats, decomposition Of the intestinal contents with formation of gas, and then necrosis of the strangulated part.
At first there is violent peristalsis without much abdominal dis tension, but this is soon followed by paralysis Of the intestinal wall and gaseous distension Of the abdomen and a collection into the peritoneal cavity Of a quantity Of bloody fluid.
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