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Aetiology

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Precipitating factors include:

  • an abnormally mobile intestinal loop e.g. congenital malrotation of small intestine, or a particularly long sigmoid colon
  • an abnormally loaded loop of bowel - may occur in the pelvic colon in chronic constipation
  • adhesions fixing a loop of bowel to its apex
  • an abnormally narrow base for a loop of bowel
  • rarely as a result of duplication cysts

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