Nuevo Sergio Pozo, Macías Robles María Dolores, Delgado Sevillano Ramón, Pérez-Gallarza Susana Serrano
Emergency Department, Hospital San Agustín, Avilés, Spain.
BMJ Case Rep. 2013 Jun 5;2013:bcr2012008260. doi: 10.1136/bcr-2012-008260.
We describe a challenging case of sigmoid volvulus where a previously unrecognised anatomical condition, rather than the patient's age, was the main predisposing factor. A man in his thirties presented to the emergency department with a 3-day history of constipation and acute abdominal pain. Initial assessment and studies were inconclusive, but a CT scan revealed torsion of the large bowelSigmoid volvulus is a frequent cause of bowel obstruction that can be missed if appropriate imaging is not available. Clinical presentation and blood analysis can be similar to the findings in acute abdomen caused by other more common causes.
我们描述了一例具有挑战性的乙状结肠扭转病例，其中一个先前未被认识的解剖学状况而非患者年龄是主要的诱发因素。一名三十多岁的男性因便秘和急性腹痛3天就诊于急诊科。初始评估和检查结果不明确，但CT扫描显示大肠扭转。乙状结肠扭转是肠梗阻的常见原因，如果没有合适的影像学检查可能会漏诊。其临床表现和血液分析可能与其他更常见病因引起的急腹症表现相似。
