Roggo A, Brülhart K B, Infanger D, Tosch M, Ottinger L W, Largiadèr F
Departemente Chirurgie, Universitätsspital Zürich.
Helv Chir Acta. 1994 Apr;60(4):657-60.
In North America and Europe small bowel volvulus is a sporadic form of mechanical intestinal obstruction. Diagnostic problems may occur. The clinical presentation is that of an acute abdomen. The cause of symptoms may be due to narrowing of the bowel itself, or strangulation of the blood supply, or both. The types (primary and secondary) and incidence of small bowel volvulus are age-related and demonstrate astonishing geographical differences. Goals for treatment of small bowel volvulus should include physician awareness and accurate work-up of this uncommon diagnosis.
在北美和欧洲，小肠扭转是机械性肠梗阻的一种散发性形式。可能会出现诊断问题。临床表现为急腹症。症状的原因可能是肠管本身狭窄、血供绞窄或两者皆有。小肠扭转的类型（原发性和继发性）及发病率与年龄相关，且存在惊人的地域差异。小肠扭转的治疗目标应包括医生对这一罕见诊断的认识及准确的检查。
