Kiviniemi H O, Mäkelä J T
Department of Surgery, Oulu University Hospital, Finland.
Ann Chir Gynaecol. 1997;86(4):364-6.
Metachronous cecal and sigmoid volvulus is very rare.
A case report.
Two different volvuli necessitated three operations. Cecal volvulus was treated by caecostomy and sigmoid volvulus by detorsion three years later. Sigmoid volvulus recurred after simple operative detorsion, but the patient recovered without complications after a mesocolosplasty. We recommend operative treatment when recurrent colonic volvulus is suspected, and resection is preferable in medically fit patients.
异时性盲肠和乙状结肠扭转非常罕见。
病例报告。
两种不同的扭转需要进行三次手术。盲肠扭转通过盲肠造口术治疗，三年后乙状结肠扭转通过扭转复位术治疗。单纯手术扭转复位后乙状结肠扭转复发，但患者在进行结肠系膜成形术后康复且无并发症。我们建议在怀疑复发性结肠扭转时进行手术治疗，对于身体状况适合的患者，切除手术更为可取。
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