El-Masry Nabil S, Geevarghese Ruben
Department of Surgery, Charing Cross Hospital, London, UK
Department of Surgery, Charing Cross Hospital, London, UK.
J Surg Case Rep. 2015 Feb 2;2015(2):rju152. doi: 10.1093/jscr/rju152.
Large bowel obstruction (LBO) is most commonly due to malignancy, volvulus, hernia, diverticular disease and inflammatory bowel disease. LBO due to adhesions is unusual. A literature review was conducted which revealed that only a few such cases have been reported. We report two cases of LBO secondary to adhesions in patients, one with and one without a past abdominal surgical history. We highlight that while rare, the aetiology of LBO secondary to adhesions must be considered in the differential diagnosis in patients presenting with obstructive symptoms.
大肠梗阻（LBO）最常见的病因是恶性肿瘤、肠扭转、疝气、憩室病和炎症性肠病。由粘连引起的大肠梗阻并不常见。进行了一项文献综述，结果显示仅有少数此类病例被报道。我们报告了两例因粘连导致大肠梗阻的患者，其中一例有腹部手术史，另一例没有。我们强调，虽然罕见，但在出现梗阻症状的患者的鉴别诊断中，必须考虑粘连导致大肠梗阻的病因。
