CAJ | 학술논문

72 children,50 boys and 22 girls, were admitted for acute volvulus of the intestine from May,1970 to Dec.,1981.The cure rate was 80.5%,with mortality of 19.5%. This paper gives a discussion on its etiology which includes congenital malformation, intestinal malformation, and defective attachment of the mesentery. Besides, occlusion in the intestinal lumen from ascariasis and other factors can also induce its onset. These anatomical factors as well as pathological lesions would soon cause distension of the caecum, which, in turn, would make the mesentery over stretched or narrowed that twist, or volvulus, would result. The authors point out:(1)almost every case had causative factors, such as violent exercise after meal, heavy meals, diarrhea, ascariasis with intestinal occlusion and inadequate administration of ascaricides,(2)symptoms suggestive of the condition are sudden onset of severe colic pain around the umbilicus and repeated vomiting and(3)X-ray examination reveals signs of intestinal obstruction. It is emphasized that correct diagnosis and active explorative laparotomy should be done without delay. The authors also point out that toxic shock is often responsible for death.