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一名19岁女性出现横结肠扭转，随后又发生乙状结肠扭转。

Transverse colonic volvulus presenting in a 19-year-old female with subsequent sigmoid volvulus.

作者信息

Stiene Jennifer, Barber Meghan, Silva Francisco Rodriguez, Halloran Sean J, Sferra Joseph J

机构信息

University of Toledo College of Medicine and Life Sciences, 3000 Arlington Ave, Toledo, OH 43614, United States.

Department of Surgery, ProMedica Health System, 2147 N Cove Blvd, Toledo, OH 43606, United States.

出版信息

J Surg Case Rep. 2024 Aug 28;2024(8):rjae556. doi: 10.1093/jscr/rjae556. eCollection 2024 Aug.

DOI:10.1093/jscr/rjae556
PMID:39211367
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11358059/
Abstract

Transverse colonic volvulus is exceptionally rare and is the rarest compared to sigmoid or cecal volvulus. This case report summarizes the care of a young 19-year-old woman who presented with transverse colonic volvulus. This woman came to the emergency room with abdominal pain, nausea, and vomiting, and she had no risk factors for a volvulus. This case report has the goal of raising awareness among those taking care of anyone coming in for abdominal pain. Volvulus is a serious issue and can be life threatening if not treated appropriately.

摘要

横结肠扭转极为罕见，与乙状结肠或盲肠扭转相比是最罕见的。本病例报告总结了一名19岁年轻女性横结肠扭转的治疗情况。该女性因腹痛、恶心和呕吐来到急诊室，且没有发生扭转的风险因素。本病例报告旨在提高照顾腹痛患者的医护人员的认识。扭转是一个严重问题，若治疗不当可能危及生命。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df83/11358059/0e4ea435feb4/rjae556f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df83/11358059/1c0463bf904e/rjae556f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df83/11358059/0e4ea435feb4/rjae556f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df83/11358059/1c0463bf904e/rjae556f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df83/11358059/0e4ea435feb4/rjae556f2.jpg

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本文引用的文献

1
Volvulus of the Transverse Colon.横结肠扭转。
Am Surg. 2023 May;89(5):1930-1943. doi: 10.1177/00031348211041564. Epub 2021 Aug 30.
2
Transverse colon volvulus presenting as bowel obstruction: a case report.以肠梗阻为表现的横结肠扭转：一例病例报告
J Med Case Rep. 2019 May 25;13(1):156. doi: 10.1186/s13256-019-2080-1.
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Colonic interposition between the liver and left diaphragm - management of Chilaiditi syndrome: A case report and literature review.肝脏与左膈之间的结肠间位——Chilaiditi综合征的处理：一例报告及文献复习
Oncol Lett. 2014 May;7(5):1657-1660. doi: 10.3892/ol.2014.1903. Epub 2014 Feb 21.
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Spontaneous transverse colon volvulus.自发性横结肠扭转
Pan Afr Med J. 2013 Apr 25;14:160. doi: 10.11604/pamj.2013.14.160.2073. Print 2013.
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Intestinal occlusion secondary to transverse colon volvulus.继发于横结肠扭转的肠梗阻。
Rev Esp Enferm Dig. 2005 Dec;97(12):914-5. doi: 10.4321/s1130-01082005001200008.