Question
A 2-year-old and 9-month-old child experienced abdominal discomfort at 4 a.m. on the 23rd of this month, followed by abdominal pain. The doctor at the local hospital initially diagnosed it as a colon issue and recommended sending the child to a major hospital.
Answer
Intestinal twisting is a type of strangulated intestinal obstruction, where the twisted bowel rapidly develops necrosis, perforation, and peritonitis. It is a category of intestinal obstruction with severe conditions and rapid progression. If not treated promptly, the consequences can be severe. Low-pressure barium enema can be considered to confirm the diagnosis, and abdominal CT scan has certain value in diagnosing intestinal twisting. Surgical treatment is required to correct fluid, electrolyte, and acid-base imbalances, as well as effective bowel suction, prophylactic antibiotics, and other measures.