Wolfgang R, Lee J G
University of California at Davis Medical Center, Division of Gastroenterology Sacramento, California 95817, USA.
J Clin Gastroenterol. 2001 Apr;32(4):336-9. doi: 10.1097/00004836-200104000-00012.
Acute gastric volvulus occurs when the stomach, or part of the stomach, rotates more than 180 degrees, creating a closed-loop obstruction, which eventually leads to ischemia and strangulation. Acute gastric volvulus may occur in association with a diaphragmatic defect, diaphragmatic elevation of any cause, tumors of the pancreas and stomach, trauma, and congenital abnormalities of mesenteric fixation. We describe an unusual case of an acute gastric volvulus causing cardiac tamponade, which was successfully treated by endoscopic reduction of the gastric volvulus.
急性胃扭转是指胃或部分胃发生超过180度的旋转，形成闭环梗阻，最终导致缺血和绞窄。急性胃扭转可能与膈肌缺损、任何原因引起的膈肌抬高、胰腺和胃部肿瘤、创伤以及肠系膜固定的先天性异常有关。我们描述了一例导致心脏压塞的急性胃扭转罕见病例，该病例通过内镜下胃扭转复位术成功治疗。
