- 期刊
Non-Obstructed Volvulus as a Complication of Midgut Malrotation in Adult: Report of a Case
成人先天性中腸旋轉不良併發非阻塞性之腸扭結：一病例報告
並列摘要
A 55-year-old woman with a midgut malrotation-induced volvulus had a history of intermittent, colicky abdominal pain for 2 months. Small bowel series showed a ”cork-screw” appearance and abdominal CT scan showed a ”whorl like” mass pattern, suggestive of volvulus. Angiogram revealed a twist of jejunal arteries along the superior mesenteric artery axis (barber pole sign). At laparotomy, the jejunum was found to twist 540 degrees clockwise around the pedicle of superior mesenteric artery and vein. Coils of small intestine wrapped around the root of an incomplete anchored mesentery. The viability of small bowel was not compromised. After reduction of volvulus, the mesenteric pedicle was broadened and a stabilization procedure was performed. The patient had a good recovery and has been symptom free for 3 months after operation.
延伸閱讀
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