頁籤選單縮合
題 名 | Contrast-enhanced CT as a Preferred Diagnostic Tool in Sigmoid Volvulus in a 14-year-old Girl |
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作 者 | Chang, Chi-jen; Yeh, Ming-lun; Hung, Hsin-yu; | 書刊名 | Formosan Journal of Surgery |
卷 期 | 44:4 2011.08[民100.08] |
頁 次 | 頁153-155 |
分類號 | 417.6224 |
關鍵詞 | Children; Sigmoid; Volvulus; |
語 文 | 英文(English) |
英文摘要 | Volvulus of the sigmoid colon is rare in children although it is a common cause of large bowel obstruction in elderly people. We report a case of sigmoid volvulus in a 14-year-old girl with intellectual disability. She had a 1-year history of chronic diarrhea despite supportive treatment. She was brought to the emergency department because of intermittent abdominal pain associated with vomiting of bile and passage of bloody stools. A plain X-ray showed dilated bowel loops. A contrast-enhanced computed tomography (CT) scan showed both limbs of the distended loop tapering in size and forming a round soft-tissue mass with whirled configuration in the left colonic compartment. Preoperatively, volvulus was suspected. Exploratory laparotomy disclosed a markedly distended sigmoid colon packed with fecal material and a counterclockwise rotation of 720 degrees with strangulating gangrene. The volvulus was untwisted, and a 65-cm segmental resection of the colon and primary anastomosis were performed. The patient was discharged on the 19th day following an uneventful postoperative course. We believe that a contrastenhanced CT scan is a useful tool in the diagnosis of sigmoid volvulus. |
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