Zuid-Afrikaans Hospital Accident and Emergency Unit, South Africa.
Capital Radiology, Life Groenkloof Hospital, South Africa.
S Afr J Surg. 2023 Nov;61(4):237-239. doi: 10.36303/SAJS.4069. Epub 2023 Oct 25.
Transverse colon volvulus is a rare diagnosis, with less than 100 cases reported up to 2019. The condition is complicated by the absence of characteristic radiological findings and is typically diagnosed intraoperatively. It is a surgical emergency as the condition can lead to bowel necrosis and is associated with a mortality rate of up to 33%. Bowel resection is the treatment of choice, and if a megacolon is present a subtotal colectomy is recommended. Due to the rarity of transverse colon volvulus, limited data is available on the long-term outcome of patients.
横结肠扭转是一种罕见的诊断,截至 2019 年,报告的病例不足 100 例。这种情况的特点是缺乏特征性的影像学发现,通常在手术中诊断。它是一种外科急症,因为这种情况会导致肠坏死,死亡率高达 33%。肠切除术是首选的治疗方法,如果存在巨结肠,建议进行次全结肠切除术。由于横结肠扭转的罕见性,关于患者长期预后的数据有限。