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KMID : 0371320050690050423
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Journal of the Korean Surgical Society
2005 Volume.69 No. 5 p.423 ~ p.426
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Computed Tomographic Findings of Anomalies of Intestinal Rotation in Adult Patients
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송기병/Song KB
한명식/정승문/장혁재/김용호/곽진호/조용필/최윤백/Han MS/Jung SM/Jang HJ/Kim YH/Kwak JH/Cho YP/Choi YB
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Abstract
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Anomalies of the intestinal rotation mainly produce clinical manifestations in infants and children, but are uncommon in adults. We report three adult patients who presented with a surgical abdomen and the characteristic computed tomographic findings associated with anomalies of the intestinal rotation. Two patients presented with acute appendicitis, and one presented with an intestinal obstruction caused by colon cancer. In all patients, the computed tomographic findings were suggestive and were helpful for making a preoperative diagnosis of the anomalies of intestinal rotation: (1) a left-sided colon and/or (2) mesenteric vascular inversion. A computed tomographic scan is useful not only for providing an accurate diagnosis of a suspected surgical abdomen but also for detecting associated rotational anomalies, which may require a separate surgical correction. (J Korean Surg Soc 2005;69:423-426)
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