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一位八旬男性的中肠扭转:病例报告

Midgut Volvulus on an Octogenarian Male: A Case Report.

作者信息

Ramirez-Merced Enrique J, Arizmendi-Velez Gabriela E, Sharma Rishi, Guarecuco Castillo Jesus E, El-Tawil Rana, Masri Mohammad M

机构信息

General Surgery, University of Medicine and Health Sciences, Camps, KNA.

General Surgery, D.Y. Patil Medical College, D.Y. Patil Education Society (Deemed to be University), Kolhapur, IND.

出版信息

Cureus. 2023 Jul 10;15(7):e41667. doi: 10.7759/cureus.41667. eCollection 2023 Jul.

DOI:10.7759/cureus.41667
PMID:37575718
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10412746/
Abstract

Midgut volvulus is a rare incidence in adults, especially in octogenarians. More unlikely is to find a midgut volvulus without necrosis or the need to do bowel resection when the volvulus is found within an internal hernia due to a mesenteric defect. No case has been reported with our unusual presentation, making it a rare and challenging discovery. We describe the case of an 83-year-old male who presented with nonspecific symptoms and was found to have a midgut volvulus with an internal hernia through a mesenteric defect, which had a successful recovery at the end.

摘要

中肠扭转在成年人中很少见,尤其是在八十多岁的老人中。更罕见的是,当在因肠系膜缺损导致的内疝中发现中肠扭转时,发现没有坏死或无需进行肠切除的情况。目前尚无关于我们这种不寻常表现的病例报道,这使其成为一个罕见且具有挑战性的发现。我们描述了一例83岁男性患者的病例,该患者表现为非特异性症状,经检查发现存在通过肠系膜缺损形成内疝的中肠扭转,最终成功康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/563f/10412746/5d15e7c71644/cureus-0015-00000041667-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/563f/10412746/85341b7fe8ad/cureus-0015-00000041667-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/563f/10412746/8bda112fbcf3/cureus-0015-00000041667-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/563f/10412746/5d15e7c71644/cureus-0015-00000041667-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/563f/10412746/85341b7fe8ad/cureus-0015-00000041667-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/563f/10412746/8bda112fbcf3/cureus-0015-00000041667-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/563f/10412746/5d15e7c71644/cureus-0015-00000041667-i03.jpg

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本文引用的文献

1
Acute midgut volvulus in a septuagenarian with secondary jejunoileal diverticulitis and undiagnosed congenital malrotation: an unusual presentation.一名患有继发性空肠回肠憩室炎且先天性旋转不良未被诊断的老年患者出现急性中肠扭转:一种不寻常的表现。
J Surg Case Rep. 2020 Nov 12;2020(11):rjaa449. doi: 10.1093/jscr/rjaa449. eCollection 2020 Nov.
2
A Rare Case of Primary Midgut Volvulus Necessitating Extensive Bowel Resection in an Adult.一例罕见的成人原发性中肠扭转病例,需进行广泛肠切除
Cureus. 2019 Jun 5;11(6):e4833. doi: 10.7759/cureus.4833.
3
Primary midgut volvulus in a patient with Marfan syndrome.
一名患有马凡综合征的患者出现原发性中肠扭转。
J Surg Case Rep. 2019 Feb 8;2019(2):rjz031. doi: 10.1093/jscr/rjz031. eCollection 2019 Feb.
4
An adult presentation of midgut volvulus secondary to intestinal malrotation: A case report and literature review.成人肠旋转不良继发中肠扭转1例报告并文献复习
Int J Surg Case Rep. 2018;50:46-49. doi: 10.1016/j.ijscr.2018.07.007. Epub 2018 Jul 11.
5
Absence of transverse colon, persistent descending mesocolon, displaced small and large bowels: a rare congenital anomaly with a high risk of volvulus formation.横结肠缺如、降结肠系膜持续存在、小肠和大肠移位:一种罕见的先天性异常,有形成肠扭转的高风险。
Anat Cell Biol. 2014 Dec;47(4):279-81. doi: 10.5115/acb.2014.47.4.279. Epub 2014 Dec 23.
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Int J Surg Case Rep. 2014;5(5):259-61. doi: 10.1016/j.ijscr.2014.02.013. Epub 2014 Mar 13.
7
Giant congenital mesenteric hernia in the adult.成人巨大先天性肠系膜疝
Acta Chir Belg. 2009 Oct;109(5):620-2. doi: 10.1080/00015458.2009.11680499.
8
An 80-year-old man with acute abdominal pain. Small bowel obstruction due to midgut volvulus.一名80岁男性,伴有急性腹痛。因中肠扭转导致小肠梗阻。
West J Med. 1989 Sep;151(3):343-4.