Emergent surgical consult
Place NG tube
Fluid resuscitation
Antibiotics if gangrenous bowel is suspected (triple coverage with ampicillin, gentamicin, metronidazole)
Sigmoid<unk> may be managed non-operatively by endoscopic detorsion
Successful in 50-90% of cases
Contraindicated if perforation or gangrenous bowel suspected
All cases of cecal<unk> should be managed operatively
Successful in 50-90% of cases
Contraindicated if perforation or gangrenous bowel suspected
Volvulus 
Emergent
Rectal foreign body
Necrotizing Enterocolitis
Anal fissure
Volvulus
Fecal impaction
Testicular torsion