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一个老年男性的甲时小肠和西格体卷发症:一个病例报告
Yoichi Miyaoka1, Shingo Shimada2, Yuichi Yoshida1
1General Surgery, Abashiri-Kosei General Hospital, Abashiri, JPN.
Cureus
|October 17, 2025
概括
超慢性卷积,一种罕见的肠道扭曲,可以连续影响不同的肠道段. 这份病例报告详细介绍了一名患有体和西格体卷发症的患者,强调诊断工具和预防性手术策略.
科学领域:
- 胃肠病学 胃肠病学
- 手术紧急情况 手术紧急情况
- 腹部外科手术 腹部外科手术
背景情况:
- 肠 (volvulus) 是一种危急的手术状况,导致阻塞和血液供应受损.
- 西格结肠卷发症在成年人中很常见,而小肠卷发症 (SBV) 在发达国家较少见.
- 在一个人体内,随着时间的推移在单独的肠段中发生的超慢性卷积异常罕见.
研究的目的:
- 报告一个极为罕见的超慢性状状体和西格状体卷发病例,发生在一位老年男性身上.
- 讨论潜在的共同倾向性因素可能导致复发性卷积.
- 突出诊断和治疗策略来管理复杂的卷积病例.
主要方法:
- 一个老年男性患者的病例报告.
- 对外科病史的综述,包括对大脑卷发的紧急手术.
- 随后通过切除术诊断和治疗西格体卷发症 (SB).
- 重点是用于诊断的计算机断层扫描 (CT).
主要成果:
- 患者经历了需要紧急手术的状卷积.
- 几年后,同一个病人患上了西格体卷发症,需要进行切除术.
- 电脑图像扫描在诊断两种情况中都非常有价值.
- 考虑了潜在的共同因素,如延长/移动的肠道和粘附.
结论:
- 超慢性卷积异常罕见,但可以发生.
- 共享的解剖学和外科手术因素可能会使个体在不同段落中倾向于卷积.
- 计算机断层扫描对于准确的诊断至关重要.
- 在内镜扭曲后的早期选择性sigmoidectomy可以防止复发和并发症.
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