Andersen J F, Eklöf O, Thomasson B
Pediatr Radiol. 1981;11(3):129-38. doi: 10.1007/BF00971814.
Four pediatric patients with volvulus of the right colon, and three others with twisting of the sigmoid colon are reported. The clinical manifestations, mainly pain, were vague. Radiological plain film findings were occasionally characteristic, but were in the majority of cases equivocal. An active radiological approach including a supplementary barium enema in any patient with inconclusive plain abdominal roentgenograms will, in addition to other unexpected diagnoses, reveal rare cases of large bowel volvulus. Elective surgical procedures, carried out on viable bowel do not necessarily provide advantages over a non-operative approach. In addition spontaneous reduction of the volvulus may result in permanent cure.
报告了4例右半结肠扭转的儿科患者和另外3例乙状结肠扭转的患者。临床表现主要为疼痛，较为模糊。放射学平片表现偶尔具有特征性，但在大多数情况下不明确。对于腹部平片检查结果不明确的任何患者，积极的放射学检查方法，包括补充钡剂灌肠，除了其他意外诊断外，还将发现罕见的大肠扭转病例。对存活肠段进行的择期手术不一定比非手术方法更具优势。此外，扭转的自发复位可能导致永久治愈。
