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題名 | Midgut Volvulus with Acute Abdomen in an Adult Patient: A Case Report=「中腸扭結」出現於成人急性腹痛病例--個案報告 |
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作者 | 簡紹南; 蔣咸嘉; 陳永芳; 陳瑞芳; 羅道琦; | 書刊名 | 中華放射線醫學雜誌 |
卷期 | 28:1 2003.02[民92.02] |
頁次 | 頁37-41 |
分類號 | 415.509 |
關鍵詞 | 旋轉異常; 中腸扭結; 電腦斷層; Malrotation; Midgut volvolus; Computer tomography; |
語文 | 英文(English) |
中文摘要 | 成人出現腸道旋轉異常的現象是罕見的。此研究報告我們提出一個腸道旋轉異常的成人病例,並探討其胚胎學、診斷及放射線攝影圖像的特徵。一位72歲的男性病患經歷兩週的輕微腹痛後由電腦斷層資料顯示在腹部中上腸系膜動脈部位出現小腸迴轉型態。該病患最後以Ladd’s步驟予以手術矯正並確認其中腸扭結的診斷。 |
英文摘要 | Symptomatic bowel malrotation in adults is rare. We present a patient with midgut malrotation and discuss the embryology, diagnosis and the radiographic features. A 72-year-old man presented with mild abdominal pain for two weeks. Computed Tomography (CT) revealed that twisted small bowel encircles the central superior mesenteric artery (SMA) in a whirl pattern. The patient underwent surgical correction wiht Ladd’s procedure and a final diagnosis of midgut volvulus was made. |
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