Suppr超能文献

成人在儿童时期行 Ladd 手术治疗肠旋转不良后发生结肠扭转。

Colonic volvulus in an adult after childhood Ladd's procedure for malrotation.

机构信息

Department of Surgery, Synergy Medical Education Alliance, Saginaw, Michigan 48602, USA.

出版信息

J Surg Educ. 2012 Jan-Feb;69(1):101-4. doi: 10.1016/j.jsurg.2011.05.020. Epub 2011 Sep 15.

Abstract

Malrotation and volvulus are encountered early in infancy and sometimes later in childhood, but rarely in adulthood. This ailment is treated through Ladd's adhesiolysis, detorsion, and possibly bowel resection. Literature is scarce on the long-term outcomes of this procedure, especially into adulthood. We present a case report of an adult female with a history of a laparotomy as a child for a bowel obstruction secondary to malrotation, presenting with an obstruction and colonic volvulus, secondary to an adhesive band, requiring emergent surgery. The patient did well postoperatively without complications. In adult patients presenting with a bowel obstruction and a consistent history in childhood, recurrence of volvulus should be considered as part of the differential diagnosis through a detailed history and assessment.

摘要

肠旋转不良和扭转在婴儿期早期,有时在儿童期后期发生,但在成年期很少见。这种疾病通过 Ladd 的粘连松解、解旋和可能的肠切除术来治疗。关于该手术的长期结果,特别是在成年期的结果,文献报道很少。我们报告了一例成年女性的病例,她小时候因肠旋转不良导致肠梗阻而行剖腹手术,现在因粘连带导致肠梗阻和结肠扭转而紧急手术。患者术后恢复良好,无并发症。对于成年患者,如果有肠梗阻病史且儿童期有一致的病史,应考虑通过详细的病史和评估,将复发性扭转作为鉴别诊断的一部分。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验