Tan Edward C T H, Jager Gerit J, Bleeker Wim A, Van Goor Harry
Department of Surgery, University Medical Centre Nijmegen, The Netherlands.
Dig Surg. 2002;19(5):400-2. doi: 10.1159/000065819.
Diagnosis of small bowel volvulus is frequently delayed often resulting in bowel ischaemia and infarction and impairing clinical outcome. Instant and correct diagnosis and subsequent adequate surgery may improve the outcome.
We describe a 19-year-old female with small bowel obstruction due to volvulus in whom the diagnosis was suspected based on the finding of air in the bowel wall and in the portal vein on a plain abdominal radiograph.
Air, present in the portal vein and bowel wall on a plain abdominal X-ray, suggests bowel ischaemia or necrosis and that the need for laparotomy is urgent.
小肠扭转的诊断常常延迟，常导致肠缺血和梗死，影响临床结局。及时、正确的诊断及随后适当的手术可能改善结局。
我们描述了一名19岁因扭转导致小肠梗阻的女性患者，其诊断是基于腹部平片上肠壁和门静脉内出现气体而怀疑的。
腹部X线平片上门静脉和肠壁内出现气体提示肠缺血或坏死，且急需剖腹手术。
