Alaoui Amina, Alami Badreddine, Lamrani Youssef Alaoui, Boubou Mariam, Maaroufi Mustapha
Service de Radiologie, CHU Hassan II, Fes, Maroc.
Pan Afr Med J. 2020 Nov 30;37:287. doi: 10.11604/pamj.2020.37.287.17538. eCollection 2020.
Emergency diagnosis of small bowel volvulus can be established in patients with acute intestinal obstruction, or even shock, or repeated abdominal pain often associated with motility disorders. This is a life-threatening complication of common incomplete mesentery, which is defined as an intestinal malrotation occurring very rarely in adults. Clinical symptoms are non-specific, hence the importance of knowing the radiological features, in particular scannographic features of this rare entity, thus enabling early therapeutic management. We here report the case of a 65-year-old patient admitted with total small bowel volvulus complicating common incomplete mesentery, diagnosed based on abdominal computed tomography (CT) scan and confirmed at surgery, who had favorable outcome.
对于患有急性肠梗阻甚至休克的患者,或经常伴有运动障碍的反复腹痛患者,可作出小肠扭转的紧急诊断。这是常见的肠系膜不完全性扭转的一种危及生命的并发症,其定义为成人中极为罕见的肠旋转不良。临床症状不具有特异性,因此了解这种罕见病症的放射学特征,尤其是扫描特征非常重要,这样才能进行早期治疗管理。我们在此报告一例65岁患者,因全小肠扭转并发常见的肠系膜不完全性扭转入院,通过腹部计算机断层扫描(CT)确诊,并在手术中得到证实,患者预后良好。