Schüssling G, Senst W
Frauenklinik, Bezirkskrankenhauses Frankfurt O.
Zentralbl Gynakol. 1989;111(4):243-9.
By means of two examples--one in pregnancy, the other one after an abdominal hysterectomy--we report on a rare cause of an acute mechanical ileus. In both cases an incomplete intestinal turn with distinct mobility of the colon caused a volvulus. It is pointed to the importance of an early diagnosis inspite of aggravating circumstances in late pregnancy, parturition and postoperatively after gynecologic operations. Effective operative treatment is based on careful exploration of the abdomen in order not to overlook rare causes of an ileus, among those also fetal developmental disturbances of the intestine and other abdominal viscera. Only by operative removing of the causes of an ileus in cooperation with surgeons--and that in good time--the results in gynecology can be improved especially during pregnancy but also postoperatively.
通过两个例子——一个是在孕期，另一个是在腹部子宫切除术后——我们报告了一种急性机械性肠梗阻的罕见病因。在这两个病例中，结肠明显活动的不完全肠扭转导致了肠扭转。文中指出，尽管在妊娠晚期、分娩期以及妇科手术后存在加重病情的情况，但早期诊断仍很重要。有效的手术治疗基于对腹部的仔细探查，以免忽视肠梗阻的罕见病因，其中还包括肠道和其他腹部脏器的胎儿发育障碍。只有与外科医生合作及时手术去除肠梗阻的病因，尤其是在孕期及术后，才能改善妇科治疗的效果。
