Pelucio M, Haywood Y
Department of Emergency Medicine, George Washington University Medical Center, Washington, DC 20037.
Am J Emerg Med. 1994 Mar;12(2):167-71. doi: 10.1016/0735-6757(94)90239-9.
Rotational gut abnormalities are generally considered a disease process of the neonatal and pediatric populations. However, they may first become manifest in teenagers and adults, often with disastrous outcomes. A case of a 15-year-old boy who presented in shock with an acute abdomen is presented. His symptoms had been mistaken for 1 week as gastroenteritis. At surgery, he was found to have a midgut volvulus. A differential diagnosis is discussed, as well as an anatomical review and typical symptomatology associated with midgut abnormalities.
旋转性肠道异常通常被认为是新生儿和儿童群体的一种疾病过程。然而，它们可能首先在青少年和成年人中显现出来，往往会带来灾难性后果。本文介绍了一名15岁男孩因急腹症而休克的病例。他的症状被误诊为肠胃炎长达1周。手术时发现他患有中肠扭转。本文讨论了鉴别诊断，以及与中肠异常相关的解剖学回顾和典型症状。
