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盲肠扭转合并完全性共同系膜的影像学特征：一例报告。

Imaging features of cecal volvulus complicating a complete common mesentery: A case report.

作者信息

Khaled Ayoub, El Bouardi Nizar, Ennasery Zaid, Chaouche Ismail, Chahdi Hajar Ouazzani, Akammar Amal, Haloua Meriem, Alami Badreddine, Lamrani Moulay Youssef Alaoui, Boubbou Meryem, Maaroufi Mustapha

机构信息

Department of Adult Radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco.

Department of Mother and Child Radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco.

出版信息

Radiol Case Rep. 2025 Jun 21;20(9):4478-4482. doi: 10.1016/j.radcr.2025.05.077. eCollection 2025 Sep.

DOI:10.1016/j.radcr.2025.05.077
PMID:40612967
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12221708/
Abstract

Cecal volvulus is a rare but serious complication that can occur in association with anomalies of intestinal rotation, particularly in the setting of a complete common mesentery. This congenital anomaly results from improper embryologic rotation of the primitive intestinal loop, leading to abnormal bowel mobility and a predisposition to volvulus. We report the case of a 43-year-old man with a history of goiter, who was admitted for evaluation of a 5-day history of bowel obstruction, marked by cessation of stool and gas passage, persistent vomiting, and unquantified weight loss. Cross-sectional imaging, especially computed tomography, played a pivotal role in establishing the diagnosis. The patient underwent surgical intervention with a favorable postoperative outcome.

摘要

盲肠扭转是一种罕见但严重的并发症，可与肠道旋转异常相关，尤其是在完全性共同系膜的情况下。这种先天性异常是由于原始肠袢胚胎旋转不当所致，导致肠道活动异常并易发生扭转。我们报告一例43岁男性患者，有甲状腺肿病史，因肠梗阻5天入院评估，表现为停止排气排便、持续呕吐及不明原因体重减轻。横断面成像，尤其是计算机断层扫描，在确诊中起了关键作用。患者接受了手术干预，术后结果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdbb/12221708/8fe8d48981a3/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdbb/12221708/06ed4d936578/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdbb/12221708/42760d570161/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdbb/12221708/33126e6576c9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdbb/12221708/9d79c73d990f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdbb/12221708/d635942d194b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdbb/12221708/06bd5bc2781d/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdbb/12221708/3e0c2bb73ee1/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdbb/12221708/0df10a6c27f1/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdbb/12221708/8fe8d48981a3/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdbb/12221708/06ed4d936578/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdbb/12221708/42760d570161/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdbb/12221708/33126e6576c9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdbb/12221708/9d79c73d990f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdbb/12221708/d635942d194b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdbb/12221708/06bd5bc2781d/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdbb/12221708/3e0c2bb73ee1/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdbb/12221708/0df10a6c27f1/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdbb/12221708/8fe8d48981a3/gr9.jpg

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Twist of Fate: A Case Series on Intestinal Malrotation in Adult Patients.命运的转折：成人肠旋转不良病例系列
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