乙状结肠扭转：合并乙状结肠坏疽。
Sigmoid volvulus: Comorbidity with sigmoid gangrene.
作者信息
Atamanalp Sabri Selcuk, Disci Esra, Atamanalp Refik Selim
机构信息
Prof. Sabri Selcuk Atamanalp, MD. Department of General Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
Esra Disci, MD. Assistant Professor, Department of General Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
出版信息
Pak J Med Sci. 2019 Jan-Feb;35(1):288-290. doi: 10.12669/pjms.35.1.295.
Abstract
Sigmoid volvulus (SV) is the wrapping of the sigmoid colon around its mesentery, and sigmoid gangrene is a catastrophic complication of SV. Although the diagnosis of SV is generally not difficult, unfortunately, most of the clinical, laboratory and radiological signs are not pathognomonic in demonstrating sigmoid gangrene. The treatment of gangrenous SV requires emergency surgery. Sigmoid gangrene worsens the prognosis of SV by doubling the mortality rate.
摘要
乙状结肠扭转（SV）是乙状结肠围绕其系膜发生扭转，乙状结肠坏疽是SV的一种灾难性并发症。虽然SV的诊断通常并不困难，但不幸的是，大多数临床、实验室和影像学表现对于显示乙状结肠坏疽而言并非具有特异性。坏疽性SV的治疗需要急诊手术。乙状结肠坏疽使SV的死亡率翻倍，从而恶化了其预后。
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