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横结肠扭转:两例报告及文献复习

Volvulus of the Transverse Colon: A Report of Two Cases and Review of Literature.

作者信息

Ahmed Mohamed, Allawi Ahmed, Mohammed Salih Sarmad, Vanterpool Garnet, Auda Danya

机构信息

Surgery, AdventHealth, Tampa, USA.

Surgery, University of California, Riverside, USA.

出版信息

Cureus. 2025 Jun 18;17(6):e86301. doi: 10.7759/cureus.86301. eCollection 2025 Jun.

Abstract

Transverse colon volvulus is a rare cause of potentially life-threatening large bowel obstruction accounting for less than 5% of colonic volvulus cases. Its diagnosis is often delayed due to nonspecific clinical features and its rarity. We report two uncommon cases of transverse colon volvulus. The first case involves a 20-year-old female who presented with acute abdominal pain and distension. The second case is a 67-year-old female with a one-week history of progressive constipation and abdominal discomfort. Computerized tomography aids in the diagnosis and definitive management requires surgical resection. Prompt diagnosis and treatment are critical due to the risk of ischemia and perforation.

摘要

横结肠扭转是潜在危及生命的大肠梗阻的罕见原因,占结肠扭转病例的不到5%。由于其临床特征不具特异性且罕见,其诊断常常延迟。我们报告两例不常见的横结肠扭转病例。第一例是一名20岁女性,表现为急性腹痛和腹胀。第二例是一名67岁女性,有一周进行性便秘和腹部不适病史。计算机断层扫描有助于诊断,而确定性治疗需要手术切除。由于存在缺血和穿孔风险,及时诊断和治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee13/12277923/5e138e63b3ac/cureus-0017-00000086301-i01.jpg

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