腸閉塞で発症した成人腸管全逆回転症の１例

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  • A Case of Adult Reversed Rotation Causing Acute Intestinal Obstruction.

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Adult onset reversed rotation of the bowel is extremely rare. We report here an adult case of reversed rotation causing acute intestinal obstruction. A 36-year-old man was admitted to a private clinic because of vomiting, diarrhea, and abdominal pain. These symptoms persisted for two days and an abdominal X-ray film revealed gas shadow of the dilated intestine with niveau sign. He was diagnosed as having intestinal obstruction and transferred to the hospital. A barium enema study showed a bird beak sign with obstruction of the ascending colon. He underwent an emergency laparotomy and was given a diagnosis of axis rotation of the colon. Operative findings revealed a reversed rotation of the bowel. The cecum was unfixed and twisted to cause the intestinal obstruction. After releasing the rotation, a cecopexcy to the parietal peritoneum and an appendectomy were performed, but no colonic resection was reguired because there was no vascular disturbance.

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