Wax J R, Christie T L
Department of Obstetrics and Gynecology, U.S. Naval Hospital, Portsmouth, Virginia.
Obstet Gynecol. 1993 Oct;82(4 Pt 2 Suppl):689-91.
Volvulus is the second most common cause of intestinal obstruction in pregnancy. Rarely is the small bowel involved, and even less frequently is the volvulus complete.
The patient was referred at 24 weeks and 4 days' gestation for persistent anorexia, emesis, and abdominal distention. History, physical examination, and abdominal radiographs were consistent with a complete small-bowel obstruction. Laparotomy revealed two adhesive bands, which were lysed, and a 360 degrees volvulus of the small bowel about its mesentery, which was successfully reduced.
This patient represents a case of complete small-bowel volvulus successfully treated in the second trimester by detorsion.
肠扭转是妊娠期肠梗阻的第二大常见病因。小肠受累罕见，完全性肠扭转则更为少见。
该患者在妊娠24周零4天时因持续厌食、呕吐和腹胀前来就诊。病史、体格检查及腹部X线片均符合完全性小肠梗阻。剖腹探查发现两条粘连带，予以松解，同时发现小肠围绕其系膜发生了360度扭转，扭转成功复位。
该患者为孕中期成功通过扭转复位治疗的完全性小肠扭转病例。
