MANAGEMENT OF SMALL-INTESTINAL VOLVULUS IN A DISTRICT HOSPITAL

Primary small intestinal volvulus is one of the common causes of intes tinal obstruction in various localities of the developing world. Altho ugh the general principles of management of intestinal obstruction app ly to it, its diagnosis is dependent on a clinical exclusion of other causes of intestinal obstruction with overt features, and awareness of patterns of obstruction in a given locality. Moreover, in nearly all the cases early operation is recommended for a confirmation of the dia gnosis and relief of the obstruction. However, lacking the necessary p recautions on operation, sometimes a relief of the obstruction without a diagnostic confirmation may be the result.