Abstract
Volvulus of the small bowel is present in a low percentage of patients admitted to the average general hospital. It necessitates prompt surgical intervention. The mortality in twenty-five cases presented here is 16 per cent. If surgery is performed sufficiently early so that resection is not necessary, morbidity and mortality are much decreased. There are two types of volvulus, primary and secondary. The secondary volvulus must be suspected whenever there is a sudden change in a previously stabilized simple obstruction. If resection is done, care must be taken to use the longest line of end to end anastomosis such as the oblique mirror image connection described.
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