台灣外科醫學會雜誌

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	第58卷第3期 2025-5 Elevating the standards of scientific editing in clinical surgery: Learning from editorial and journal role models
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	第58卷第3期 2025-5 Improving online physician evaluations for surgeons using sentiment analysis and alternative perspectives
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	第58卷第3期 2025-5 Ensuring ethical and qualified authorship: The key to trustworthiness in clinical surgery journal
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	第58卷第3期 2025-5 Artificial intelligence for academic purpose in clinic surgery: ChatGPT, Turnitin, and false positive
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	第58卷第3期 2025-5 COVID-19, COVID-19 vaccination, risk of cardiac myxoma in view of clinical surgery
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	第58卷第3期 2025-5 Eggplant deformity in penile fracture
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	第58卷第3期 2025-5 Splenectomy for Klippel-Trenaunay syndrome: Systematic review and case series
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	第58卷第3期 2025-5 Comments on “Risk factors for spinal cord injury without radiographic abnormality in trauma cases at a single trauma center”
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	第58卷第3期 2025-5 Impact of fluorescence-guided surgery on splenic preservation: A case of splenic hydatidosis
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	第58卷第3期 2025-5 Adult pancreatoblastoma presentingwith obstructive jaundice: A case report and literature review
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	第58卷第3期 2025-5 Pilonidal disease management in young adults: A retrospective analysis of practices in a single tertiary center in Bahrain
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	第58卷第3期 2025-5 Long-term comparative outcomes in patients undergoing transcatheter aortic valve implantation with self-expanding valves versus balloon-expandable valves: A retrospective observational study
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	第58卷第3期 2025-5 Comparative study between the effectiveness of Amnion-CollaGee (Collagen-Gelatin-Elastin) as a biological product wound dressing and conventional dressing on the donor site of the split-thickness skin graft in animals model (rats)
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	第58卷第3期 2025-5 Enhancing mortality Probability Model II predictive accuracy with the lethal triad in intensive care unit trauma patients: A retrospective study
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	第58卷第3期 2025-5 Dr. Shao-Wei Chen's contribution to analysis of outcomes of patients undergoing cardiac surgery and aortic disease: Big data analytics
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	第58卷第2期 2025-3 Predatory publisher and low standard journal: An emerging problem in clinical surgery field
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	第58卷第2期 2025-3 Conflict of interest in clinical surgery: Contemporary concern in digital era
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	第58卷第2期 2025-3 Postpublication redecision and pitfalls of inadequate standards in scientific surgical journals: Important consideration in academic publication
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	第58卷第2期 2025-3 Spontaneous bilateral basal ganglia hemorrhage
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	第58卷第2期 2025-3 Academic characterization of the Formosan Journal of Surgery: A five-year bibliometric analysis
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篇名	Contrast-enhanced CT as a preferred diagnostic tool in sigmoid volvulus in a 14-year-old girl
作者	Chi-Jen Chang a,b,*, Ming-Lun Yeh c, Hsin-Yu Hung d
卷期/出版年月	44卷4期 (2011/8)
頁次	153-155
摘要	Volvulus of the sigmoid colon is rare in children although it is a common cause of large bowel obstruction in elderly people. We report a case of sigmoid volvulus in a 14-year-old girl with intellectual disability. She had a 1-year history of chronic diarrhea despite supportive treatment. She was brought to the emergency department because of intermittent abdominal pain associated with vomiting of bile and passage of bloody stools. A plain X-ray showed dilated bowel loops. A contrast-enhanced computed tomography (CT) scan showed both limbs of the distended loop tapering in size and forming a round soft-tissue mass with whirled configuration in the left colonic compartment. Preoperatively, volvulus was suspected. Exploratory laparotomy disclosed a markedly distended sigmoid colon packed with fecal material and a counterclockwise rotation of 720 degrees with strangulating gangrene. The volvulus was untwisted, and a 65-cm segmental resection of the colon and primary anastomosis were performed. The patient was discharged on the 19th day following an uneventful postoperative course. We believe that a contrastenhanced CT scan is a useful tool in the diagnosis of sigmoid volvulus.
關鍵詞	children;sigmoid;volvulus
分類	Case Report