一名儿童横结肠扭转病例及日本文献综述

A case of transverse colon volvulus in a child and a review of the literature in Japan.

作者信息

Asabe Koushi, Ushijima Hitomi, Bepu Richiko, Shirakusa Takayuki

机构信息

Division of Pediatric Surgery, Maternity and Perinatal Care Center, Fukuoka University School of Medicine, Fukuoka, Japan.

出版信息

J Pediatr Surg. 2002 Nov;37(11):1626-8. doi: 10.1053/jpsu.2002.36198.

DOI:10.1053/jpsu.2002.36198

PMID:12407553

Abstract

A case of transverse colon volvulus in a child with mental retardation and epilepsy is described. Previously reported cases in Japanese children are reviewed. A 540 degrees, counterclockwise volvulus of the transverse colon caused ischemia requiring resection. Possible factors related to pathogenesis are discussed, and diagnostic and therapeutic measures are outlined. Volvulus of the transverse colon is extremely rare in children.

摘要

本文描述了一例患有智力障碍和癫痫的儿童发生横结肠扭转的病例。对日本儿童先前报道的病例进行了回顾。横结肠逆时针扭转540度导致缺血，需要进行切除。讨论了与发病机制相关的可能因素，并概述了诊断和治疗措施。儿童横结肠扭转极为罕见。