Huang Tai-Yu, Chang Hsing, Chen Kun-Chuan, Hu Sheng-Chuan, Tsai Ming-Jen
Department of Emergency Medicine, Buddhist Tzu Chi General Hospital, 707, Section 3, Chung Yang Road, Hualien, 970 Taiwan.
Department of Emergency Medicine, Buddhist Tzu Chi General Hospital, 707, Section 3, Chung Yang Road, Hualien, 970 Taiwan ; Institute of Pharmacology and Toxicology, College of Medicine, Tzu Chi University, Hualien, 970 Taiwan.
Indian J Surg. 2014 Apr;76(2):150-1. doi: 10.1007/s12262-012-0623-4. Epub 2012 Jul 4.
Midgut volvulus, mostly occurs due to congenital midgut malrotation, has been reported as a rare but lethal complication of some acquired medical conditions, such as postoperative adhesion bands, tumors, and mesenteric cysts. It is a surgical emergency to cause extensive bowel ischemia resulted from torsion of superior mesenteric artery. Early diagnosis and intervention is the only manner to prevent extended bowel necrosis. Here, we report a case of midgut volvulus with typical computed tomography features-the whirl sign, the transposition of the superior mesenteric artery and vein, and the ischemic change of bowel supplied by superior mesenteric artery. Early operation prevented the fate of extended bowel resection.
中肠扭转大多由于先天性中肠旋转不良引起，也有报道称其是一些后天性疾病（如术后粘连带、肿瘤和肠系膜囊肿）罕见但致命的并发症。它是一种外科急症，由肠系膜上动脉扭转导致广泛的肠缺血。早期诊断和干预是预防肠管广泛坏死的唯一方法。在此，我们报告一例具有典型计算机断层扫描特征（漩涡征、肠系膜上动静脉移位以及肠系膜上动脉供血肠段的缺血改变）的中肠扭转病例。早期手术避免了肠管广泛切除的结局。
