- 期刊
Transverse Colon Volvulus in a Patient with Cerebral Palsy
腦性麻痹病患合併橫結腸扭結：病例報告
摘要
本文報告一位22歲女性腦性麻痹病患，合併發生橫結腸扭結，經緊急次全結腸切除後康復出院。由於結腸扭結的病例在臺灣地區並不常見，發生在橫結腸更是少見。本文除報告病例外，同時整理文獻中有關此疾病的診斷及適當的治療方法。
關鍵字
無資料並列摘要
A case of transverse colon volvulus is reported because of its rarity. This 22-year-old female was also a victim of cerebral palsy in bed-ridden status. She had a history of chronic constipation under laxative usage for many years. Acute-onset abdominal pain brought her to the emergency room. There was no stool passage for 5 days. Physical examination showed a severely distended abdomen with tenderness. The muscle guarding sign was equivocal. A supine abdominal radiograph revealed enormously dilated colon loops. Emergent colonoscopy was attempted, and radiating ischemie mucosa folds were noted at the twisting point, 50 cm from the anal verge. Colonoscopic decompression was abandoned and an emergent operation was performed. Transverse colon volvulus with strangulating gangrene was noted during the laparotomy. The whole colon was mobile without congenital fixation, from cecum to sigmoid colon. Subtotal colectomy with primary end-to-end ileocolostomy was performed. The patient recovered smoothly after the operation.
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