Suzuki Fumitaka, Seharada Kai, Nakamura Kenya, Shimizu Fumiaki, Yokoyama Takahide
Department of Surgery, Gastrointestinal Surgery, National Hospital Organization Shinshu Ueda Medical Center.
Nihon Shokakibyo Gakkai Zasshi. 2024;121(10):835-841. doi: 10.11405/nisshoshi.121.835.
A 29-year-old man presented to the hospital with complaints of abdominal pain and vomiting. Abdominal computed tomography revealed intestinal malrotation, a whirl sign of the small intestine, and occlusion of the superior mesenteric artery and vein. Due to dilation of the small intestine and poor contrast enhancement of the intestinal wall, he was diagnosed with strangulating small bowel obstruction with intestinal necrosis. Emergency surgery was performed owing to the diagnosis of small bowel volvulus with intestinal malrotation, which necessitated massive small bowel resection. The remnant small intestine was approximately 100cm in length. The patient developed short bowel syndrome postoperatively but eventually resumed a normal diet.
一名29岁男性因腹痛和呕吐入院。腹部计算机断层扫描显示肠道旋转不良、小肠漩涡征以及肠系膜上动脉和静脉闭塞。由于小肠扩张和肠壁造影剂增强不佳，他被诊断为绞窄性小肠梗阻伴肠坏死。由于诊断为小肠扭转伴肠道旋转不良，需进行急诊手术，这需要大量切除小肠。剩余小肠长度约为100厘米。患者术后出现短肠综合征，但最终恢复了正常饮食。
