Clinical Analysis of Pathogenesis and Early Diagnosis of Small Bowel Volvulus(Report of 43 Cases)
Author(s): LI Xin-ping, Dubaba Hassan, ZOU Jian-hua, LIU Wen-fang, Department of General Surgery, Tongji Hospital of Tongji University, HassanⅡ Hospital of Settat, Department of General Sugery, Shanghai Sixth People’s Hospital
Pages: 1279-1283
Year: 2013 Issue: 11
Journal: Chinese Journal of Bases and Clinics in General Surgery
Keyword: Small bowel volvulus; Pathogenesis; Early diagnosis;
Abstract: Objective To study the etiology,pathogenesis,and diagnosis of small bowel volvulus in adults.Method The clinical data of 43 cases of small bowel volvulus admitted to Hassan Ⅱ Hospital of Settat from October2009 to October 2012 were analyzed retrospectively. Results There were 11 cases of spontaneous small bowel volvulus.There were 32 cases of secondary small bowel volvulus,of which 19 cases due to postoperative abdominal adhesions.Clinical manifestation:early persistent severe abdominal pain was in 40 cases,frequent vomiting was in 29 cases,intestinal pattern or abdominal mass was in 28 cases. All 43 patients were received surgery,22(51.2%)cases were diagnosed by preoperative ultrasonography,small bowel necrosis was found in 16 cases during operation,37(86.0%)patients were cured and 6(14.0%)patients died. Conclusions Secondary small bowel volvulus is main small bowel volvulus,postoperative abdominal adhesion is major causes of small bowel volvulus,the value of abdominal X-ray in diagnosing is limited. However,ultrasonography and CT are helpful in diagnosing these diseases. Small bowel volvulus and intestinal obstruction can reinforce each other. Early small bowel volvulus is characterized by clinical conditions such as severe abdominal pain,early vomiting signs,and signs not matching the symptoms. Acute onset and rapid progression are the features of small bowel volvulus,surgery should be intervened in early stage.
Pages: 1279-1283
Year: 2013 Issue: 11
Journal: Chinese Journal of Bases and Clinics in General Surgery
Keyword: Small bowel volvulus; Pathogenesis; Early diagnosis;
Abstract: Objective To study the etiology,pathogenesis,and diagnosis of small bowel volvulus in adults.Method The clinical data of 43 cases of small bowel volvulus admitted to Hassan Ⅱ Hospital of Settat from October2009 to October 2012 were analyzed retrospectively. Results There were 11 cases of spontaneous small bowel volvulus.There were 32 cases of secondary small bowel volvulus,of which 19 cases due to postoperative abdominal adhesions.Clinical manifestation:early persistent severe abdominal pain was in 40 cases,frequent vomiting was in 29 cases,intestinal pattern or abdominal mass was in 28 cases. All 43 patients were received surgery,22(51.2%)cases were diagnosed by preoperative ultrasonography,small bowel necrosis was found in 16 cases during operation,37(86.0%)patients were cured and 6(14.0%)patients died. Conclusions Secondary small bowel volvulus is main small bowel volvulus,postoperative abdominal adhesion is major causes of small bowel volvulus,the value of abdominal X-ray in diagnosing is limited. However,ultrasonography and CT are helpful in diagnosing these diseases. Small bowel volvulus and intestinal obstruction can reinforce each other. Early small bowel volvulus is characterized by clinical conditions such as severe abdominal pain,early vomiting signs,and signs not matching the symptoms. Acute onset and rapid progression are the features of small bowel volvulus,surgery should be intervened in early stage.
Related Articles