Ueo H, Nagamatsu M, Nakamura A, Matsuura R, Hara O
Department of Surgery, Kyushu University, Japan.
Jpn J Surg. 1990 May;20(3):346-50. doi: 10.1007/BF02470672.
A 55 year old man with a short history of continuous vomiting and recent episodes of midabdominal pain and high fever was discovered to have a complete duodenal obstruction caused by acute appendicitis and intestinal malrotation. A fibrous adhesion caused by the inflamed appendix in the high caecum involved the duodeno-jejunal junction. This case is unique in that the onset of acute appendicitis triggered duodenal obstruction in the presence of an asymptomatic malrotation.
一名55岁男性，有持续呕吐的短暂病史，近期出现中腹部疼痛和高热，经检查发现由急性阑尾炎和肠旋转不良导致完全性十二指肠梗阻。高位盲肠处发炎的阑尾引起的纤维性粘连累及十二指肠空肠交界处。该病例的独特之处在于，在无症状性肠旋转不良的情况下，急性阑尾炎的发作引发了十二指肠梗阻。
