计算机断层扫描漩涡征：一种基于图像的手术指征。

Computed tomography whirl sign: An image-based indication for surgery.

作者信息

Hobeika C, Anzoua Kouakou I, Eveno C

机构信息

Unité Inserm, Paris 7, carcinose angiogenese et recherche translationnelle (CART), hôpital Lariboisière, université Paris Diderot, Sorbonne Paris Cité, 2, rue Ambroise-Paré, 75010 Paris, France.

Service de chirurgie digestive et cancérologique, hôpital Lariboisière, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France.

出版信息

J Visc Surg. 2018 Apr;155(2):163-164. doi: 10.1016/j.jviscsurg.2017.11.005. Epub 2017 Dec 13.

DOI:10.1016/j.jviscsurg.2017.11.005

PMID:29246778

Abstract

Adhesive closed-loop small bowel obstruction can lead to volvulus and ischemia with risk of necrosis. The vital prognosis and bowel viability are highly dependent on rapid management. The physical examination is often insufficient to establish the diagnosis and computed tomography is ordered. The whirl sign provides the best imaging evidence of volvulus and can be sufficient to establish the indication for surgery.

摘要

粘连性闭环性小肠梗阻可导致肠扭转和缺血，有坏死风险。关键的预后和肠存活情况高度依赖于快速处理。体格检查往往不足以确诊，因此会安排计算机断层扫描。漩涡征提供了肠扭转的最佳影像学证据，足以确定手术指征。