Tegegne A
Gondar College of Medical Sciences, Ethiopia.
Trop Doct. 1995;25 Suppl 1:54-7. doi: 10.1177/00494755950250S118.
Primary small intestinal volvulus is one of the common causes of intestinal obstruction in various localities of the developing world. Although the general principles of management of intestinal obstruction apply to it, its diagnosis is dependent on a clinical exclusion of other causes of intestinal obstruction with overt features, and awareness of patterns of obstruction in a given locality. Moreover, in nearly all the cases early operation is recommended for a confirmation of the diagnosis and relief of the obstruction. However, lacking the necessary precautions on operation, sometimes a relief of the obstruction without a diagnostic confirmation may be the result.
原发性小肠扭转是发展中世界各地肠梗阻的常见原因之一。虽然肠梗阻的一般处理原则适用于它，但其诊断依赖于临床排除具有明显特征的其他肠梗阻原因，以及对特定地区肠梗阻模式的认识。此外，几乎在所有病例中，都建议早期手术以确诊并解除梗阻。然而，由于手术时缺乏必要的预防措施，有时可能会出现未确诊就解除梗阻的情况。
