What are some symptoms of midgut volvulus?

Midgut volvulus is a surgical emergency that occurs when a loop of the intestine twists around itself and the mesentery that supplies it, leading to compromised blood supply and potential bowel necrosis. The symptoms reflect the acute nature of this condition.

Patients typically present with sudden onset symptoms due to the rapid progression of the condition. Bilious emesis, which is vomiting of bile-stained fluid, occurs because the obstruction prevents the normal movement of intestinal contents, leading to accumulation above the site of the volvulus. Abdominal distention is also common as the intestine becomes obstructed and gas and fluids build up. Acute abdominal pain is a hallmark symptom, often described as severe or crampy in nature.

The other options present symptoms that are not characteristic for midgut volvulus specifically. Chronic abdominal pain and diarrhea suggest a more chronic or less acute process, which doesn't align with the sudden and severe presentation of midgut volvulus. Fever and weight loss would imply an ongoing process, often associated with other chronic conditions or infections, rather than the acute pathology of volvulus. Finally, a metallic taste and bloating may indicate gastrointestinal disturbances or side effects from medications, but these symptoms do not reflect the critical and immediate issues seen in midgut volvulus