Nardone Armando, Tamini Nicolò, Nespoli Luca, Pirovano Riccardo
Chirurgia generale III, Ospedale S. Gerardo, Monza.
Ann Ital Chir. 2010 Sep-Oct;81(5):377-81.
Intestinal malrotation is a rare cause of bowel obstruction in adults and it could create a perplexing situation for surgeons not familiar with this pediatric pathology. Symptomatic patients present either acutely with bowel obstruction and intestinal ischemia with a midgut or cecal volvolus, or chronically with vague abdominal pain. Several modalities can be used to describe the intestinal abnormality such as barium X-ray, computer tomography scans, angiography and sometimes also the explorative laparotomy. The authors report on a case 62 years-old women presented to Emergency Center for plurime episodies of biliar emesis and diffuse abdominal pain in the last 5 days and treated for bowel obstruction secondary to a midgut volvolus in anomaly of fetal intestinal rotation.
肠旋转不良是成人肠梗阻的罕见病因,对于不熟悉这种儿科病理情况的外科医生来说,可能会造成棘手的局面。有症状的患者要么急性表现为肠梗阻和肠缺血伴中肠或盲肠扭转,要么慢性表现为不明原因的腹痛。有几种方法可用于描述肠道异常,如钡剂X线检查、计算机断层扫描、血管造影,有时还包括剖腹探查术。作者报告了一例62岁女性病例,该患者在过去5天因多次胆汁性呕吐和弥漫性腹痛就诊于急诊中心,经治疗诊断为因胎儿肠道旋转异常导致中肠扭转继发的肠梗阻。