Cook E S, Allison E J
Ann Emerg Med. 1984 Oct;13(10):963-6. doi: 10.1016/s0196-0644(84)80676-9.
The case of an 18-year-old man with sigmoid volvulus and recurrent abdominal pain is presented. He was seen in the emergency department three times in a 4-month period, each time complaining of cramping left lower quadrant pain of one to two hours duration without vomiting or diarrhea. Physical examination on each occasion revealed left lower quadrant tenderness without mass, guarding, or rebound. Radiologic evaluation on the first visit revealed sigmoid volvulus, which was reduced by barium enema. Despite identical clinical presentation on two subsequent occasions, radiologic studies showed no evidence of recurrent volvulus. During the ensuing two years, the patient has had no further symptoms.
本文报告了一例18岁患有乙状结肠扭转和复发性腹痛的男性病例。在4个月的时间里，他3次前往急诊科就诊，每次均主诉左下腹绞痛，持续一到两小时，无呕吐或腹泻症状。每次体格检查均发现左下腹压痛，但无肿块、肌紧张或反跳痛。首次就诊时的放射学评估显示乙状结肠扭转，经钡剂灌肠后扭转得以复位。尽管随后两次就诊时临床表现相同，但放射学检查未发现复发性扭转的证据。在接下来的两年里，该患者未再出现任何症状。
