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先天性肠扭转伴长期反复腹痛:病例报告

Congenital intestinal volvulus with episodes of pain for long period of time: case report.

作者信息

Talebzadeh Hamid, Andalib Shahrzad, Andalib Mohammad Masoud

机构信息

Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Gastroenterol Hepatol Bed Bench. 2021 Spring;14(2):174-177.

PMID:33968345
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8101513/
Abstract

The incidence of intestinal volvulus as a cause of abdominal pain is rare in adults and normally presents during infancy. Approximately 90% of patients with volvulus are diagnosed within the first year of life, 80% of whom are diagnosed within the first month of life. The current case was a 34-year-old pregnant woman who was admitted to the hospital due to self-limited episodes of epigastric pain from a young age. The patient complained that the pains had recently worsened. Further clinical investigation led us to invasive intervention due to signs of obstruction, and the patient was transferred to the operating room. The case represents a rare incidence of intestinal volvulus in an adult and its complications through pregnancy.

摘要

肠扭转作为腹痛原因在成人中很少见,通常出现在婴儿期。大约90%的肠扭转患者在出生后第一年内被诊断出来,其中80%在出生后第一个月内被诊断。本例患者是一名34岁孕妇,自幼因自限性上腹部疼痛入院。患者主诉近期疼痛加剧。进一步的临床检查因出现梗阻迹象而导致我们进行侵入性干预,患者被转至手术室。该病例代表了成人罕见的肠扭转及其在孕期的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bcc/8101513/570c022ad64e/GHFBB-14-174-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bcc/8101513/6838cbf6e44e/GHFBB-14-174-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bcc/8101513/b117dd9f2870/GHFBB-14-174-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bcc/8101513/81c02aec5be0/GHFBB-14-174-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bcc/8101513/570c022ad64e/GHFBB-14-174-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bcc/8101513/6838cbf6e44e/GHFBB-14-174-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bcc/8101513/b117dd9f2870/GHFBB-14-174-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bcc/8101513/81c02aec5be0/GHFBB-14-174-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bcc/8101513/570c022ad64e/GHFBB-14-174-g004.jpg

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本文引用的文献

1
Malrotation of the Gut in Adults: An Often Forgotten Entity.成人肠道旋转不良:一个常被遗忘的实体。
Cureus. 2018 Mar 12;10(3):e2313. doi: 10.7759/cureus.2313.
2
Midgut Volvulus as a Complication of Intestinal Malrotation in Pregnancy.
ACG Case Rep J. 2017 Jan 18;4:e9. doi: 10.14309/crj.2017.9. eCollection 2017.
3
Primary adult midgut volvulus mimicking acute appendicitis: A case report and review of the literature.酷似急性阑尾炎的原发性成人中肠扭转:一例报告并文献复习
Int J Surg Case Rep. 2016;24:182-4. doi: 10.1016/j.ijscr.2016.05.025. Epub 2016 May 19.
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Midgut volvulus as a complication of intestinal malrotation in a term pregnancy.足月妊娠中肠扭转作为肠旋转不良的并发症。
Korean J Anesthesiol. 2014 Dec;67(Suppl):S98-9. doi: 10.4097/kjae.2014.67.S.S98.
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Incidental midgut malrotation detected during second laparotomy: Case report and literature review.二次剖腹术中偶然发现的中肠旋转不良:病例报告及文献综述
Int J Surg Case Rep. 2015;7C:134-6. doi: 10.1016/j.ijscr.2014.12.004. Epub 2014 Dec 8.
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Malroatation of gut with superior mesenteric artery syndrome and multiple jejunal diverticula presenting as acute intestinal obstruction in 6th decade: A rare case report.第六个十年出现的伴有肠系膜上动脉综合征和多个空肠憩室的肠道旋转不良表现为急性肠梗阻:一例罕见病例报告。
Int J Surg Case Rep. 2015;6C:1-4. doi: 10.1016/j.ijscr.2014.11.063. Epub 2014 Nov 24.
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Small Bowel Ischemia due to Jejunum Volvulus in Pregnancy: A Case Report.妊娠期间空肠扭转导致的小肠缺血:一例报告
Case Rep Obstet Gynecol. 2012;2012:485863. doi: 10.1155/2012/485863. Epub 2012 Dec 12.
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Endoscopic management of a pregnant lady with duodenal obstruction due to malrotation with midgut volvulus.
Trop Gastroenterol. 2011 Oct-Dec;32(4):339-41.
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Malrotation of the intestine.肠旋转不良
World J Surg. 1993 May-Jun;17(3):326-31. doi: 10.1007/BF01658699.
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Acute and chronic presentation of intestinal nonrotation in adults.成人肠道非旋转的急性和慢性表现
Dis Colon Rectum. 1994 Feb;37(2):192-8. doi: 10.1007/BF02047549.