Stockport NHS Foundation Trust, UK.
Ann R Coll Surg Engl. 2022 Apr;104(4):e102-e104. doi: 10.1308/rcsann.2021.0242. Epub 2021 Nov 30.
Small bowel volvulus is a rare but life-threatening emergency. Volvulus of the duodenum is even rarer without the presence of predisposing factors. The clinical presentation is vague, including abdominal pain, nausea and vomiting, prompt diagnosis of volvulus therefore relies heavily on radiographs. The treatment options lie between conservative or surgical management, where the decision is influenced by the patient and their presentation. This case is of a 100-year-old female with an extensive surgical and medical background presenting with signs of small bowel obstruction. With the help of imaging, a rare case of duodenal volvulus was diagnosed but managed conservatively due to the patient's background, age and personal wishes.
小肠扭转是一种罕见但危及生命的急症。没有诱发因素的情况下，十二指肠扭转更为罕见。其临床表现较为模糊，包括腹痛、恶心和呕吐，因此，扭转的快速诊断主要依赖于影像学检查。治疗方案包括保守治疗或手术治疗，具体取决于患者及其临床表现。本病例为一位 100 岁女性，既往有广泛的手术和内科病史，现表现为小肠梗阻的征象。在影像学的帮助下，诊断为罕见的十二指肠扭转，但由于患者的背景、年龄和个人意愿，选择了保守治疗。
