全结肠扭转，游离移动的结肠扭转 720°。
Total colonic volvulus with a 720° twist of freely mobile colon.
机构信息
Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia
Division of Surgery, Flinders Medical Centre, Bedford Park, South Australia, Australia.
出版信息
BMJ Case Rep. 2022 Aug 26;15(8):e250163. doi: 10.1136/bcr-2022-250163.
Abstract
Segmental colonic volvulus involving the sigmoid or ileocaecal region is an important cause of large bowel obstruction and a well-established surgical emergency. Volvulus of the entire colon however is hazardously rare, in which case the diagnosis is likely to be made intraoperatively. The surgeon is then faced with the conundrum of the best surgical management, especially in the case of early intervention with viable bowel. To our knowledge this has never been reported.
摘要
累及乙状结肠或回盲部的节段性结肠扭转是引起大肠梗阻的重要原因，也是明确的外科急症。然而，整个结肠的扭转极为罕见，这种情况下，诊断很可能是在手术中做出的。此时，外科医生面临着最佳手术治疗的难题，特别是在早期干预且肠管存活的情况下。据我们所知，这种情况从未有过报道。
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本文引用的文献
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Synchronous volvulus of the sigmoid colon and caecum, a very rare cause of large bowel obstruction.乙状结肠和盲肠同步扭转，一种非常罕见的大肠梗阻原因。
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