与硬皮病和狼疮相关的横结肠和盲肠同步扭转
Synchronous Volvulus of the Transverse Colon and Cecum Associated with Scleroderma and Lupus.
作者信息
Manasewitsch Nicholas T, Lee Michael T, Khuu Anthony N
机构信息
University of Nevada, Reno School of Medicine, 1664 N. Virginia Street, Reno, NV 89557, USA.
Department of Radiology, Renown Regional Medical Center, Reno, NV, USA.
出版信息
Radiol Case Rep. 2020 Nov 28;16(2):273-277. doi: 10.1016/j.radcr.2020.11.020. eCollection 2021 Feb.
Colonic volvulus may infrequently occur in the transverse colon, and synchronous double volvulus is a rarely reported phenomenon in the literature. Additionally, intestinal volvulus is a rare but serious complication that has been reported in scleroderma and systemic lupus erythematosus (SLE) patients. We report a 26-year-old patient with a history of scleroderma-SLE overlap syndrome who presented with an acute abdomen. CT imaging revealed a transverse colon volvulus and a cecal bascule (cecal volvulus). To our knowledge, this is the first reported case of synchronous double volvulus of the transverse colon and cecum. Additionally, this is the second reported case of transverse colon volvulus occurring in a patient with scleroderma and the first case in a patient with scleroderma-SLE overlap syndrome.
结肠扭转很少发生在横结肠，同步性双扭转是文献中鲜有报道的现象。此外，肠扭转是一种罕见但严重的并发症，已在硬皮病和系统性红斑狼疮（SLE）患者中报道过。我们报告一例26岁有硬皮病 - SLE重叠综合征病史的患者，其出现急腹症。CT成像显示横结肠扭转和盲肠皱襞（盲肠扭转）。据我们所知，这是首例报道的横结肠和盲肠同步性双扭转病例。此外，这是第二例报道的硬皮病患者发生横结肠扭转的病例，也是首例硬皮病 - SLE重叠综合征患者发生横结肠扭转的病例。
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