Sarfaraz Moaziz, Hasan Syeda Rana, Lateef Shahid
Emergency Department, Fujairah Hospital, Fujairah, United Arab Emirate.
Department of Preventive Medicine, Fujairah, United Arab Emirate.
Intractable Rare Dis Res. 2017 Aug;6(3):219-223. doi: 10.5582/irdr.2017.01033.
According to the literature, sigmoid volvulus typically develops in patients of an older age with co-morbidities such as a psychiatric illness or a bed-bound chronic illness. Recent reports suggest that it should also be considered in young individuals without any preceding medical history. Abdominal roentgenography is a cheap and effective diagnostic modality that can avoid a delay in diagnosis. The treatment of colonic volvulus remains controversial and relies upon the procedure selected and the most appropriate therapeutic approach in terms of the clinical status of the patient, the location of the problem, the suspected existence or identification of peritonitis, bowel viability, and the expertise of the surgical team. Presented here are four cases of young male patients with sigmoid volvulus. All of the patients were diagnosed radiologically prior to surgical intervention. Two of the patients initially underwent an endoscopic procedure that succeeded in one and that failed in the other. Three of the patients underwent a laparotomy.
根据文献记载，乙状结肠扭转通常发生在老年患者中，这些患者常伴有精神疾病或卧床慢性病等合并症。最近的报告表明，在没有任何既往病史的年轻个体中也应考虑该病。腹部X线检查是一种廉价且有效的诊断方法，可避免诊断延误。结肠扭转的治疗仍存在争议，其取决于所选的手术方式以及根据患者的临床状况、问题所在位置、是否怀疑存在或已确诊腹膜炎、肠管活力以及手术团队的专业水平而选择的最合适的治疗方法。本文介绍了4例乙状结肠扭转的年轻男性患者。所有患者在手术干预前均通过影像学检查确诊。其中2例患者最初接受了内镜手术，1例成功，1例失败。3例患者接受了剖腹手术。
