肠旋转不良并局限性腹茧症1例

Intestinal Malrotation with Localized Abdominal Cocoon: A Case Report

摘要: 肠旋转不良是一种由于胚胎时期中肠旋转和固定发生障碍，导致肠管位置发生变异而引起的先天性疾病，可引起肠梗阻、肠扭转等并发症。多发病于婴幼儿，且容易合并其他先天性疾病，肠旋转不良在成人发病较为罕见，且临床症状多不典型，易漏诊、误诊。本文报道了1例54岁男性因大量进食后突发腹痛伴梗阻症状入院，行手术治疗确诊为肠旋转不良合并局限性腹茧症的患者。结合本例患者的症状、体征、辅助检查及查阅现有文献，充分了解该病的病因、症状、诊断、鉴别诊断及治疗方案，避免漏诊、误诊。

Abstract: Intestinal malrotation is a congenital disease caused by the variation of intestinal position due to the obstacle of midgut rotation and fixation in embryonic stage, which can cause complications such as intestinal obstruction and volvulus. It often occurs in infants and is easy to be complicated with other congenital diseases. Intestinal malrotation is rare in adults, and the clinical symptoms are often atypical, which is easy to be missed and misdiagnosed. This paper reports a 54-year-old male hospitalized with sudden abdominal pain after massive eating. After surgical treatment, he was diagnosed as intestinal malrotation complicated with localized abdominal cocoon. According to the symptoms, signs, auxiliary examination of this patient and literature review, we can fully understand the etiology, symptoms, diagnosis, differential diagnosis and treatment of the disease, so as to avoid missed diagnosis and misdiagnosis.