亚急性横结肠扭转：大肠梗阻的罕见病因：病例报告
Sub-acute transverse colon volvulus an exceptional cause of large bowel obstruction: Case report.
作者信息
Elbakouri Abdelilah, Lafkih Oussama, Abbad El Andaloussi Zineb, Bouali Mounir, Elhattabi Khalid, Bensardi Fatimazahra, Fadil Abdelaziz
机构信息
Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco.
出版信息
Ann Med Surg (Lond). 2021 Feb 3;63:102154. doi: 10.1016/j.amsu.2021.01.102. eCollection 2021 Mar.
INTRODUCTION
The sub-acute form of transverse colon volvulus manifests with signs and symptoms of large bowel obstruction. The diagnosis is most often done intraoperatively. We report a rare case of transverse colon volvulus in a 65-year-old female patient with no particular pathological or surgical history.
CASE PRESENTATION
Sub-acute transverse colon volvulus in an elderly woman with no pathological or surgical history. Manifested with signs and symptoms of colonic obstruction. Surgically treated by a two-stage procedure with good postoperative outcomes.
DISCUSSION
The transverse colon volvulus represents only 2-4% of all colonic volvulus. We discuss the diagnostic and therapeutic approach of our case of transverse colon volvulus through a literature review.
CONCLUSION
Transverse colon volvulus should be considered as a differential diagnosis in the face of large bowel obstruction. Early diagnosis and treatment improve the prognosis.
引言
亚急性横结肠扭转表现为大肠梗阻的体征和症状。诊断大多在术中进行。我们报告一例65岁女性横结肠扭转罕见病例，该患者无特殊病理或手术史。
病例介绍
一名无病理或手术史的老年女性发生亚急性横结肠扭转。表现为结肠梗阻的体征和症状。采用两阶段手术治疗，术后效果良好。
讨论
横结肠扭转仅占所有结肠扭转的2%-4%。我们通过文献回顾讨论了本例横结肠扭转的诊断和治疗方法。
结论
面对大肠梗阻时，应将横结肠扭转视为鉴别诊断之一。早期诊断和治疗可改善预后。
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