左侧腹腔脏器反位并发右半结肠扭转1例  

1 case of left-sided abdominal organ inversion complicated by right hemicolon torsion

作　　者：孙庆磊[1] 贺占财 马云龙 周翠玲[2] SUN Qing-lei;HE Zhan-cai;MA Yun-long(Binzhou Medical College Affiliated Hospital,Binzhou 256603,China)

机构地区：[1]滨州医学院附属医院胃肠外科,256603 [2]滨州医学院附属医院胸外科,256603 [3]海北州第一人民医院外科,810299

出　　处：《中国实用医药》2024年第5期155-157,共3页China Practical Medicine

摘　　要：内脏反位是一种少见的先天性畸形,是指心、肺、胃、肠、肝、胆、脾脏等内脏器官的解剖位置与正常人相反。目前引起腹腔脏器反位的原因尚无定论,多数学者认为与家族遗传及染色体结构的畸变有关或者胚胎发育期间旋转不良导致,胚胎期脐带扭转学说及原发性纤毛功能障碍学说为较重要学说。临床中所见类型多为全内脏反位,左右完全颠倒。而部分内脏反位患者较为罕见,且因解剖变异所致相关疾病发生率相对更高,临床意义更大。本例患者为部分内脏反位,左侧腹腔脏器反位于右侧,而右侧脏器解剖无明显变化,因特殊的解剖反位,致右半结肠较游离,活动度大,是本例患者发生右半结肠扭转的重要解剖原因。治疗经验值得临床借鉴,查阅相关文献未见类似报告。Visceral inversion is a rare congenital malformation in which the anatomical position of the internal organs,such as the heart,lungs,stomach,intestines,liver,gallbladder,and spleen,is reversed from normal.At present,the cause of abdominal organ inversion has not been determined.Most scholars believe that it is related to family heredity,chromosome structure aberration or malrotation during embryonic development,and the theory of umbilical cord torsion and primary ciliary dysfunction are the most important theories.The most common type seen in the clinic is total visceral anomaly,in which the left and right sides are completely inverted.Partial visceral anomalies are rare,and the incidence of associated diseases due to anatomical variations is relatively higher,which is of greater clinical significance.In this case,the patient has partial visceral inversion,the left side of the abdominal organs inversion on the right side,while the right side of the organs anatomically no significant changes,due to the special anatomical inversion,resulting in the right hemicolon is more free,high mobility,is an important anatomical reason for the occurrence of the right hemicolonic torsion in this case.The treatment experience is worthy of clinical reference,and no similar report is seen in the review of related literature.

关 键 词：脏器反位 结肠扭转 发育异常 

分 类 号：R574.62[医药卫生—消化系统]