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正常分娩后横结肠扭转:1例罕见病例报告及世界文献复习

Transverse colon volvulus following normal delivery: report of a rare case and review of the world literature.

作者信息

Xu Yingxue, Zhu Qian, Zhang Cuilan, Nie Sipei

机构信息

Department of Gynecology and Obstetrics, Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing, 211100, Jiangsu, China.

出版信息

BMC Pregnancy Childbirth. 2025 Apr 12;25(1):436. doi: 10.1186/s12884-025-07559-3.

Abstract

The incidence of volvulus increases during pregnancy and the postpartum period. This condition can be challenging to diagnose and can lead to increased morbidity and mortality for both the mother and fetus. Recently, our center successfully treated a 33-year-old woman who developed transverse colon volvulus after normal delivery. After conducting a literature review, the case of volvulus occurring after normal delivery was rarely reported. Finally, the twisted mesocolon was restored by laparotomy, and the patient recovered well after the operation. This case report highlights the importance of prompt diagnosis and treatment of this rare complication during the postpartum period. The key to successful treatment is minimizing delays in decision-making and ensuring timely surgery.

摘要

肠扭转的发生率在孕期及产后会增加。这种情况诊断起来可能具有挑战性,并且会导致母亲和胎儿的发病率及死亡率上升。最近,我们中心成功治疗了一名33岁的女性,她在正常分娩后发生了横结肠扭转。在进行文献回顾后发现,正常分娩后发生肠扭转的病例鲜有报道。最后,通过剖腹手术恢复了扭转的结肠系膜,患者术后恢复良好。本病例报告强调了产后及时诊断和治疗这种罕见并发症的重要性。成功治疗的关键在于尽量减少决策延迟并确保及时手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b00f/11992788/9bd6ee0f3fd4/12884_2025_7559_Fig2_HTML.jpg

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