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乙状结肠和盲肠同时发生扭转导致大肠梗阻的极罕见病例。

Very rare case of synchronous volvulus of the sigmoid colon and caecum causing large-bowel obstruction.

作者信息

Roy Susmit Prosun, Tay Yeng Kwang, Kozman Daniel

机构信息

Department of Medicine and Surgery, University of New South Wales - Randwick Campus, Randwick, New South Wales, Australia.

General Surgery, Saint George Hospital, Kogarah, New South Wales, Australia.

出版信息

BMJ Case Rep. 2019 Jan 28;12(1):bcr-2018-227375. doi: 10.1136/bcr-2018-227375.

Abstract

Large-bowel obstruction caused by volvulus is potentially life threatening if not managed promptly. Sigmoid colon is the most common site of volvulus followed by caecum. Synchronous double colonic volvulus is an exceedingly rare entity, with only five cases published previously. We present the case of a 77-year-old man with a synchronous sigmoid and caecal volvulus. He underwent total colectomy with ileostomy formation with a view to reverse the ileostomy at a later date.

摘要

如果不及时处理,由肠扭转引起的大肠梗阻可能会危及生命。乙状结肠是肠扭转最常见的部位,其次是盲肠。同步性双结肠扭转是一种极其罕见的情况,此前仅有5例报道。我们报告一例77岁男性同步性乙状结肠和盲肠扭转的病例。他接受了全结肠切除术并形成回肠造口术,以期日后将回肠造口术还纳。

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本文引用的文献

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Management of colonic volvulus.结肠扭转的管理
Clin Colon Rectal Surg. 2012 Dec;25(4):236-44. doi: 10.1055/s-0032-1329535.
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Cecal volvulus.盲肠扭转
CMAJ. 2013 May 14;185(8):684. doi: 10.1503/cmaj.120651. Epub 2012 Oct 1.
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A case of triple volvulus.一例三扭结病例。
Ann R Coll Surg Engl. 2012 Mar;94(2):e62-4. doi: 10.1308/003588412X13171221500781.
10
Cecal volvulus: CT findings and correlation with pathophysiology.盲肠扭转:CT表现及其与病理生理学的相关性
Emerg Radiol. 2007 Nov;14(6):411-5. doi: 10.1007/s10140-007-0647-4. Epub 2007 Jul 6.

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