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术前单对比上消化道造影检查期间症状性继发性小肠扭转的自发缓解

Spontaneous resolution of symptomatic secondary small bowel volvulus during pre-operative single contrast upper gastrointestinal study.

作者信息

Hamedani Hooman, Nelson Blake, Pagur Patrick, Bullmaster John

机构信息

Kettering Health Network, 405 W Grand Ave, Dayton, OH, 45405, USA.

University Hospitals Cleveland Medical Center Emergency Medicine, Cleveland, OH, 44106, USA.

出版信息

Radiol Case Rep. 2022 Mar 28;17(5):1810-1816. doi: 10.1016/j.radcr.2022.02.078. eCollection 2022 May.

DOI:10.1016/j.radcr.2022.02.078
PMID:35369541
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8968202/
Abstract

Small bowel volvulus is a rare occurrence in adults as it most commonly occurs within the first year of life as a complication of malrotation, an embryologic anomaly. When occurring in any age group, restriction of blood flow can lead to ischemia and eventual infarction of bowel making any suspected volvulus a surgical emergency. We present a case of a middle-aged patient with acute small bowel obstruction with small bowel volvulus. Following oral administration of water-soluble contrast as part of a single contrast upper gastrointestinal tract (UGI) study and changes in positioning, the patient experienced spontaneous resolution of the small bowel volvulus.

摘要

小肠扭转在成人中较为罕见，因为它最常发生在出生后第一年，作为旋转不良（一种胚胎学异常）的并发症。当在任何年龄组中发生时，血流受限可导致肠缺血并最终梗死，因此任何疑似扭转均为外科急症。我们报告一例中年患者，患有急性小肠梗阻并伴有小肠扭转。在作为单对比上消化道（UGI）检查的一部分口服水溶性造影剂并改变体位后，患者的小肠扭转自行缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bd/8968202/fa759d7b2b11/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bd/8968202/6d4c2c87648e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bd/8968202/56c06f574146/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bd/8968202/434ff7154a0b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bd/8968202/0a92b04815eb/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bd/8968202/97e0f453aded/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bd/8968202/fa759d7b2b11/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bd/8968202/6d4c2c87648e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bd/8968202/56c06f574146/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bd/8968202/434ff7154a0b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bd/8968202/0a92b04815eb/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bd/8968202/97e0f453aded/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bd/8968202/fa759d7b2b11/gr6.jpg

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Radiol Case Rep. 2022 Mar 28;17(5):1810-1816. doi: 10.1016/j.radcr.2022.02.078. eCollection 2022 May.
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Intestinal malrotation--volvulus: imaging findings.肠旋转不良 - 肠扭转：影像学表现
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