原发性脾曲扭转

Primary splenic flexure volvulus.

作者信息

Mittal R, Samarasam I, Chandran S, Mathew G

机构信息

Upper GI Surgical Unit, Department of General Surgery Unit 3, Christian Medical College and Hospital, Ida Scudder Road, Vellore 632004, India.

出版信息

Singapore Med J. 2007 Mar;48(3):e87-9.

PMID:17342279

Abstract

Primary splenic flexure volvulus is a rare entity. We report an acute presentation of primary splenic flexure volvulus with gangrene in a 24-year-old man. Radiograph showed a massively-dilated large bowel loop with a coffee-bean sign. At emergency laparotomy, a distended and gangrenous splenic flexure was found, with absence of all three ligamentous attachments of the splenic flexure.

摘要

原发性脾曲扭转是一种罕见的病症。我们报告了一名24岁男性原发性脾曲扭转伴坏疽的急性病例。X线片显示一个巨大扩张的大肠袢，呈咖啡豆征。急诊剖腹手术时，发现脾曲扩张且坏疽，脾曲的三条韧带附着均缺失。