Deitch E A, Engel J M
Am Surg. 1980 Apr;46(4):226-9.
Malrotation in the adult can mimic acute appendicitis. A complete abdominal exploration is needed to find any obstructing bands or midgut volvulus. The difference between mixed rotation, which usually presents with midgut voluvlus and or duodenal obstruction, and nonrotation, which is usually asymptomatic or presents with intermittent attacks of abdominal pain, is stressed. Therapy is recommended according to the type of defect present.
成人肠旋转不良可酷似急性阑尾炎。需要进行全面的腹部探查以发现任何梗阻带或中肠扭转。文中强调了通常表现为中肠扭转和/或十二指肠梗阻的混合型旋转与通常无症状或表现为间歇性腹痛发作的非旋转型之间的差异。建议根据存在的缺陷类型进行治疗。