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复合性肠扭转:一例罕见的肠梗阻病例

Compound Volvulus: A Rare Case of Intestinal Obstruction.

作者信息

Sheoran Ajit, Shah Sameeksha, Paruthy Shivani B, Choudhary Sushila

机构信息

General Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, IND.

Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, IND.

出版信息

Cureus. 2024 Feb 26;16(2):e54936. doi: 10.7759/cureus.54936. eCollection 2024 Feb.

Abstract

Compound volvulus or ileosigmoid knotting is an uncommon surgical emergency that causes intestinal obstruction. The sigmoid and ileum are mostly involved in this closed-loop intestinal obstruction. It is regarded as a rather uncommon cause of intestinal obstruction. It's important to distinguish between an ileosigmoid knot and a simple sigmoid volvulus since the management of the two is different. CT and MRI are more helpful in the diagnosis than abdominal X-ray findings, which are not pathognomonic. After resuscitation, a patient with ileosigmoid knotting typically needs an emergency laparotomy. Different resectional and non-resectional surgical procedures may be employed depending on the viability of the ileum and sigmoid colon.

摘要

复合性肠扭转或回乙状结肠扭结是一种导致肠梗阻的罕见外科急症。乙状结肠和回肠最常受累于这种闭袢性肠梗阻。它被视为肠梗阻的一种相当罕见的病因。区分回乙状结肠扭结和单纯乙状结肠扭转很重要,因为二者的处理方式不同。计算机断层扫描(CT)和磁共振成像(MRI)在诊断中比腹部X线检查结果更有帮助,腹部X线检查结果不具有特征性。复苏后,回乙状结肠扭结患者通常需要急诊剖腹手术。根据回肠和乙状结肠的活力,可能会采用不同的切除性和非切除性手术方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f8c/10967233/eabbecf52cae/cureus-0016-00000054936-i01.jpg

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