PDF(Pubmed)
Abstract：
BACKGROUND: Colon volvulus is the twisting of a segment of colon on its mesenteric axis, which can lead to the obstruction of the lumen and the blood supply. Colon volvulus is common in \"volvulus belt\" countries and can involve the sigmoid (60-70%) and cecum (25-40%).
METHODS: We report a case of a 47-year-old male, Alawites, who presented with bowel obstruction and dilated abdomen without any specific abdominal pain. Abdominal laparotomy showed both sigmoid and cecum volvulus with no signs of perforation or ischemia.
CONCLUSIONS: One of the possible risk factors of sigmoid colon volvulus is the length of the rectum and sigmoid, while mobile cecum is considered as a possible reason for cecum volvulus. The management remains controversial and is specific for every case, depending mainly on the vitality of the colonic walls and the general condition of the patient.
METHODS: We report a case of a 47-year-old male, Alawites, who presented with bowel obstruction and dilated abdomen without any specific abdominal pain. Abdominal laparotomy showed both sigmoid and cecum volvulus with no signs of perforation or ischemia.
CONCLUSIONS: One of the possible risk factors of sigmoid colon volvulus is the length of the rectum and sigmoid, while mobile cecum is considered as a possible reason for cecum volvulus. The management remains controversial and is specific for every case, depending mainly on the vitality of the colonic walls and the general condition of the patient.
摘要：
背景：结肠扭转是一段结肠在其肠系膜轴上的扭曲，这可能导致管腔阻塞和血液供应。结肠扭转常见于“扭转带”国家，可累及乙状结肠(60-70%)和盲肠(25-40%)。
方法：我们报告一例47岁男性，阿拉维斯,表现为肠梗阻和腹部扩张，没有任何特定的腹痛。腹部剖腹术显示乙状结肠和盲肠扭转均无穿孔或缺血征象。
结论：乙状结肠扭转的可能危险因素之一是直肠和乙状结肠扭转的长度，而移动盲肠被认为是盲肠扭转的可能原因。管理层仍然存在争议，并且针对每种情况都是特定的，主要取决于结肠壁的活力和患者的一般状况。
方法：我们报告一例47岁男性，阿拉维斯,表现为肠梗阻和腹部扩张，没有任何特定的腹痛。腹部剖腹术显示乙状结肠和盲肠扭转均无穿孔或缺血征象。
结论：乙状结肠扭转的可能危险因素之一是直肠和乙状结肠扭转的长度，而移动盲肠被认为是盲肠扭转的可能原因。管理层仍然存在争议，并且针对每种情况都是特定的，主要取决于结肠壁的活力和患者的一般状况。
