[一例成人小肠巨大切除术后小肠卷曲伴肠旋转不良导致术后短肠综合征的病例]。

Fumitaka Suzuki, Kai Seharada, Kenya Nakamura, Fumiaki Shimizu, Takahide Yokoyama
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引用次数: 0

摘要

一名 29 岁的男子因腹痛和呕吐来到医院就诊。腹部计算机断层扫描显示肠旋转不良、小肠漩涡征、肠系膜上动脉和静脉闭塞。由于小肠扩张和肠壁对比度增强不良,他被诊断为绞窄性小肠梗阻伴肠坏死。由于诊断为小肠卷曲伴肠旋转不良,必须进行大面积小肠切除,因此进行了紧急手术。残余小肠长约 100 厘米。患者术后出现了短肠综合征,但最终恢复了正常饮食。
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[An adult case of a small bowel volvulus with intestinal malrotation that resulted in postoperative short bowel syndrome after massive small bowel resection].

A 29-year-old man presented to the hospital with complaints of abdominal pain and vomiting. Abdominal computed tomography revealed intestinal malrotation, a whirl sign of the small intestine, and occlusion of the superior mesenteric artery and vein. Due to dilation of the small intestine and poor contrast enhancement of the intestinal wall, he was diagnosed with strangulating small bowel obstruction with intestinal necrosis. Emergency surgery was performed owing to the diagnosis of small bowel volvulus with intestinal malrotation, which necessitated massive small bowel resection. The remnant small intestine was approximately 100cm in length. The patient developed short bowel syndrome postoperatively but eventually resumed a normal diet.

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来源期刊
Japanese Journal of Gastroenterology
Japanese Journal of Gastroenterology Medicine-Gastroenterology
CiteScore
0.20
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期刊介绍: The Journal of Gastroenterology, which is the official publication of the Japanese Society of Gastroenterology, publishes Original Articles (Alimentary Tract/Liver, Pancreas, and Biliary Tract), Review Articles, Letters to the Editors and other articles on all aspects of the field of gastroenterology. Significant contributions relating to basic research, theory, and practice are welcomed. These publications are designed to disseminate knowledge in this field to a worldwide audience, and accordingly, its editorial board has an international membership.
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