Geoffray A, Montagne J P, Gruner M, Fauré C
Arch Fr Pediatr. 1984 Apr;41(4):249-53.
Thirty-eight children were operated on between 1974 and 1979 at the hôpital Trousseau for a volvulus of the small intestine due to an abnormal mesenteric rotation. These children may be classified into 3 groups: (1) peracute volvulus, most often neonatal, with intestinal necrosis, generally lethal; (2) acute volvulus, also neonatal, with a favorable outcome after treatment; (3) chronic volvulus, which may occur at any age and may be symptomatic or not. They carry a risk of acute complication, with possible intestinal necrosis. Radiology plays a part in the diagnosis of such anomalies of rotation complicated with volvulus. Upper gastrointestinal tract opacification with barium sulfate, showing the abnormal position of the duodenojejunal flexure and a corkscrew appearance allows surgical decision, as in all cases, treatment is surgical. It consists of derotation and setting in complete common mesentery position.
1974年至1979年间，38名儿童在特鲁索医院接受了因肠系膜旋转异常导致的小肠扭转手术。这些儿童可分为3组：（1）超急性扭转，最常见于新生儿，伴有肠坏死，通常致命；（2）急性扭转，也发生于新生儿，治疗后预后良好；（3）慢性扭转，可发生于任何年龄，可能有症状也可能无症状。它们有急性并发症的风险，可能导致肠坏死。放射学在诊断这种合并扭转的旋转异常中发挥作用。用硫酸钡进行上消化道造影，显示十二指肠空肠曲的异常位置和螺旋状外观有助于做出手术决策，因为在所有病例中，治疗均为手术治疗。手术包括扭转复位并将肠系膜置于完全正常的位置。
