Atamanalp Sabri Selçuk, Peksöz Rıfat, Dişçi Esra
Department of General Surgery, Atatürk University School of Medicine Erzurum, Turkey.
Department of General Surgery, Atatürk University Faculty of Medicine, Erzurum, Turkey.
Eurasian J Med. 2022 Dec;54(Suppl1):91-96. doi: 10.5152/eurasianjmed.2022.22310.
Sigmoid volvulus and ileosigmoid knotting are uncommon intestinal obstructions, which generally affect adult males. The etiology is multifactorial. Volvulus triad including abdominal pain/tenderness, distention, and obsti pation/constipation is the common clinical presentation. Although x-ray radiography helps with diagnosis, the current diagnostic procedure is computed tomography or magnetic resonance imaging in addition to flexible endoscopy in sigmoid volvulus. Endoscopic decompression is the primary treatment except for the presence of bowel gangrene and peritonitis in sigmoid volvulus, while such conditions and also ileosigmoid knotting require emergency surgery. The prognosis is relatively poor under these adverse circumstances and in ileosigmoid knotting.
乙状结肠扭转和回肠乙状结肠扭结是罕见的肠梗阻，通常影响成年男性。其病因是多因素的。包括腹痛/压痛、腹胀和便秘在内的扭转三联征是常见的临床表现。虽然X线摄影有助于诊断，但目前的诊断方法是计算机断层扫描或磁共振成像，此外对于乙状结肠扭转还需进行柔性内镜检查。除乙状结肠扭转存在肠坏疽和腹膜炎外，内镜减压是主要治疗方法，而这些情况以及回肠乙状结肠扭结则需要急诊手术。在这些不利情况下以及回肠乙状结肠扭结时，预后相对较差。
