Ludena Danny, Camillo Rodolfo, Machry Mayara, Solis-Pazmino Paola
Surgery Department, Santa Casa de Misericórdia in Porto Alegre (SCMPA), Porto Alegre, RS, Brazil.
J Surg Case Rep. 2023 Apr 12;2023(4):rjad167. doi: 10.1093/jscr/rjad167. eCollection 2023 Apr.
Transverse colon volvulus is an uncommon cause of bowel obstruction. Moreover, a thoracic herniation into the thorax is still rare. An early diagnosis and treatment are critical to the patient since they can lead to bowel infarction, peritonitis and death. We reported a 55-year-old woman admitted to the emergency department at a hospital. She presented with severe abdominal pain, mainly in the epigastrium, associated with dyspnea, nausea and vomiting. An abdominal CT scan showed a large hiatal hernia in the thorax with signs of volvulus in the involved segment.
横结肠扭转是肠梗阻的一种罕见病因。此外，胸腔内疝入胸腔的情况仍然很少见。早期诊断和治疗对患者至关重要，因为这可能导致肠梗死、腹膜炎和死亡。我们报告了一名55岁女性入住一家医院的急诊科。她表现为严重腹痛，主要在上腹部，伴有呼吸困难、恶心和呕吐。腹部CT扫描显示胸腔内有一个大的食管裂孔疝，受累节段有扭转迹象。
