Idiopathic Small Bowel Volvulus: A Case Report

A. El Bakouri, Abdelhak Ettaoussi, M. Bouali, F. Bensardi, K. El Hattabi, A. Fadil
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引用次数: 0

Abstract

Idiopathic small bowel volvulus is a rare cause of acute intestinal obstruction by strangulation in adults and is defined by the twisting of a segment of the small bowel around its mesenteric axis with no obvious underlying congenital or acquired cause. This article reports the case of a 56-year-old patient, chronic smoker and cannabis user, who was admitted with febrile occlusive syndrome and generalized abdominal contracture. The abdominal CT scan showed a distension of the small intestines upstream of a probable small bowel volvulus, associated with signs of digestive distress. Surgical exploration revealed a large peritoneal effusion of distressed fluid, with a volvulus of the distal small bowel causing 1.80 m of small bowel and coecum necrosis from 2.20 ADJ without rotational abnormality or docking defect.
特发性小肠扭转1例报告
特发性小肠扭转是一种罕见的成人绞窄性急性肠梗阻的病因,表现为小肠一段绕肠系膜轴扭曲,无明显的先天性或后天原因。这篇文章报告了一个56岁的病人,慢性吸烟者和大麻使用者,谁是入院的发热闭塞综合征和全身性腹部挛缩。腹部CT扫描显示小肠膨胀,上游可能为小肠扭转,伴有消化困难的迹象。手术探查发现大量腹膜积液,远端小肠扭转,导致1.80 m的小肠和盲肠坏死,2.20 ADJ,无旋转异常或对接缺损。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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