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一名非洲青少年男性的盲肠扭转：病例报告及文献简要综述

Caecal volvulus in an adolescent African male: a case report and brief review of the literature.

作者信息

Mwita Clifford, Muthoka Johnstone, Kanina Powell, Mulingwa Phillip

机构信息

Department of Surgery, Thika Level 5 Hospital, Thika, Kenya ; Joanna Briggs Institute Affiliate Centre, Kenya.

Department of Surgery, Thika Level 5 Hospital, Thika, Kenya.

出版信息

Pan Afr Med J. 2014 Feb 6;17:92. doi: 10.11604/pamj.2014.17.92.3946. eCollection 2014.

DOI:10.11604/pamj.2014.17.92.3946
PMID:25452837
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4247739/
Abstract

Caecal volvulus is an infrequent clinical condition caused by an axial twist of ascending colon, caecum and terminal ileum around the mesenteric pedicle. This article presents the case of a 16-year old African male from Kenya who presented to the emergency department with acute onset right sided lower abdominal pain diagnosed intra-operatively as caecal volvulus. The rare nature of the condition, the need for a high index of suspicion and surgical management are highlighted.

摘要

盲肠扭转是一种由升结肠、盲肠和回肠末端围绕肠系膜蒂轴向扭转引起的临床少见病症。本文介绍了一名来自肯尼亚的16岁非洲男性病例，该患者因急性右侧下腹痛就诊于急诊科，术中诊断为盲肠扭转。强调了该病症的罕见性、高度怀疑的必要性以及手术治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/611e/4247739/ceba856bd598/PAMJ-17-92-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/611e/4247739/edc042e44e25/PAMJ-17-92-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/611e/4247739/b25c6de45faa/PAMJ-17-92-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/611e/4247739/ceba856bd598/PAMJ-17-92-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/611e/4247739/edc042e44e25/PAMJ-17-92-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/611e/4247739/b25c6de45faa/PAMJ-17-92-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/611e/4247739/ceba856bd598/PAMJ-17-92-g003.jpg

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本文引用的文献

1
Cecal volvulus in adolescence presenting as recurring visits for abdominal pain.青少年乙状结肠扭转表现为反复发作的腹痛就诊。
West J Emerg Med. 2010 May;11(2):202-4.
2
Is laparotomy the unavoidable step to diagnose caecal volvulus?剖腹手术是诊断盲肠扭转不可避免的步骤吗？
Ann R Coll Surg Engl. 2010 Jul;92(5):W27-9. doi: 10.1308/147870810X12699662980231. Epub 2010 Jun 7.
3
Volvulus of the cecum with a review of 100 cases in the literature and a report of six new cases.盲肠扭转：文献中100例病例回顾及6例新病例报告
BMC Surg. 2021 Dec 19;21(1):430. doi: 10.1186/s12893-021-01416-8.
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Cecal Volvulus Post Cesarean Section: A Case Report.剖宫产术后盲肠扭转：一例报告
Cureus. 2020 Jan 13;12(1):e6644. doi: 10.7759/cureus.6644.
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Diagnosis and treatment of caecal volvulus.盲肠扭转的诊断与治疗
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Preoperative colonoscopic derotation is beneficial in acute colonic volvulus.术前结肠镜下扭转复位术对急性结肠扭转有益。
Dig Surg. 2002;19(3):223-9. doi: 10.1159/000064217.
6
The management of cecal volvulus.盲肠扭转的治疗
Dis Colon Rectum. 2002 Feb;45(2):264-7. doi: 10.1007/s10350-004-6158-4.
7
CT of cecal volvulus: unraveling the image.盲肠扭转的CT：解读影像
AJR Am J Roentgenol. 2001 Jul;177(1):95-8. doi: 10.2214/ajr.177.1.1770095.
8
Cecal volvulus: a complication of colonoscopy.盲肠扭转：结肠镜检查的一种并发症。
Gastrointest Radiol. 1986;11(1):110-1. doi: 10.1007/BF02035046.
9
Experience with colonic volvulus.结肠扭转的经验
Dis Colon Rectum. 1989 May;32(5):409-16. doi: 10.1007/BF02563694.
10
Cecal volvulus.盲肠扭转
Dis Colon Rectum. 1990 Sep;33(9):765-9. doi: 10.1007/BF02052323.