成人先天性小肠旋转不良长期误诊1例  

Long-term misdiagnosis on 1 case adult congenital intestinal malrotation

作　　者：姚我[1] 潘文胜[2] 

机构地区：[1]浙江大学医学院附属第二医院普内科,杭州310009 [2]浙江大学医学院附属第二医院消化内科,杭州310009

出　　处：《中国当代医药》2015年第30期171-173,共3页China Modern Medicine

摘　　要：目的探讨成人先天性小肠旋转不良的临床特点、诊治方法及误诊原因。方法报道本院1例成人先天性小肠旋转不良的诊治过程,并复习相关文献。结果本例患者为女性,60岁,因长期腹部不适就诊,收入我院后经小肠CT、胃肠造影及肠系膜动脉B超确诊为成人先天性小肠旋转不良,确诊后因患者并无肠梗阻征象,暂内科保守治疗。结论当遇到成人患者长期消化道症状久治不愈时,需考虑先天性小肠旋转不良的可能。消化道造影、腹部CT及B超等影像学检查是明确诊断的重要手段,确诊本病并存在肠梗阻时,需行手术治疗。Objective To explore the clinical characteristics,diagnosis and therapeutic method,and reasons for misdiagnosis of adult congenital intestinal malrotation. Methods Diagnosis and treatment 1 case of adult congenital intestinal malrotation in our hospital was reported, and the relevant literatures were reviewed. Results The patient was female,60 years old.She visited hospital due to abdominal discomfort for a long time.After being admitted into our hospital,she was definitely diagnosed as adult congenital intestinal malrotation by CT on small intestine, gastroenterography,and B ultrasound on mesenteric artery.After that,the patient didn’t display sings of intestinal obstruction,and was received for internal medicine for conservative treatment. Conclusion When the adult suffer from long-term gastrointestinal symptoms and cannot be cured for a long period, the possibility of congenital intestinal malrotation needs to be considered.The important means to definitely diagnose the disease include digestive tract radiography,abdominal CT,and B ultrasound. If the disease has been diagnosed, and intestinal obstruction is occurred, surgical treatment is necessary.

关 键 词：先天性小肠旋转不良 成人 误诊 上消化道造影 

分 类 号：R574.4[医药卫生—消化系统]