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一例罕见的成人原发性中肠扭转病例,需进行广泛肠切除

A Rare Case of Primary Midgut Volvulus Necessitating Extensive Bowel Resection in an Adult.

作者信息

Mustansir Fatima, Farooq Ayesha, Baqir Huma, Gondal Sejal A, Khan Sadaf

机构信息

Surgery, Aga Khan University, Karachi, PAK.

Psychiatry, Aga Khan University, Karachi, PAK.

出版信息

Cureus. 2019 Jun 5;11(6):e4833. doi: 10.7759/cureus.4833.

Abstract

A cause of acute intestinal obstruction in adults, midgut volvulus can be categorized into two types: primary type with no identifiable underlying cause, and secondary type that occurs in the presence of a predisposing condition such as, postoperative adhesions. Primary midgut volvulus can lead to bowel ischemia and necrosis, making an extensive bowel resection imminent. A potential consequence of bowel resection is short-bowel syndrome - a failure of digestion and absorption by the intestines, leading to malnutrition and other complications. As such, we report the diagnosis and management of primary midgut volvulus - a rare entity in adults - occurring in an adult patient.

摘要

中肠扭转是成人急性肠梗阻的一个病因,可分为两种类型:原发性,无明确的潜在病因;继发性,发生于存在诸如术后粘连等易感因素的情况下。原发性中肠扭转可导致肠缺血和坏死,使得即将进行广泛的肠切除。肠切除的一个潜在后果是短肠综合征——肠道消化和吸收功能衰竭,导致营养不良及其他并发症。因此,我们报告了一例发生在成年患者身上的原发性中肠扭转(成人中的罕见病症)的诊断和治疗情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f375/6682344/cb8c5b855595/cureus-0011-00000004833-i01.jpg

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