Analysis of 32 Cases reverse sigmoid.docVIP

 PAGE \* MERGEFORMAT 7 Analysis of 32 Cases reverse sigmoid [Keywords:] reverse sigmoid Sigmoid colon torsion is a common cause of acute intestinal obstruction. The disease more common in older patients, postoperative complications, high mortality, and recurrence rate. In our hospital from January 2009 ~ January 2010 were treated between reverse case of sigmoid colon in 32 cases. are as follows. 1 Clinical data 1.1 General Information The group of 23 males and 9 females. Aged 29 to 75 years, mean 56.4 years old. Duration of 3 hours to 21 days. To 2 to 6 days more common. 1.2 Clinical manifestations Admission all patients had progressive abdominal distension, abdominal pain, obstruction will be closed until the low performance of .14 patients had vomiting, 10 cases of treatment when combined with shock, 26 patients had mild left lower quadrant tenderness, 14 patients with left lower quadrant palpable mass, 12 patients had peritoneal irritation. abdominal X-ray examination: All the patients had typical features of X-sigmoid colon torsion. 1.3 auxiliary examination Apart from the 5 exception of peritoneal irritation, and the remaining 19 cases admitted to hospital immediately after the line of peritoneal dialysis or plain film examination, 14 patients showed multiple abdominal fluid level ladder, 6 cases showed expansion of the “horseshoe”-shaped loop of the colon diagnosed routine .13 barium enema, 12 were diagnosed as sigmoid colon torsion, 1 was misdiagnosed as colon cancer and intestinal obstruction. 2 treatment, and outcomes 13 cases of sigmoidoscopy or directly into the anal canal decompression and reduction, 4 cases were successful. However, this in 4 cases, 1 case occurred at 8 hours after reset signs of acute peritonitis Hartmann surgery, 1 case 2 months after a successful reset elective sigmoid removal of a match, 2 patients relapsed within 1 year to reverse the line due to a bowel resection. without decom