Iannelli Antonio, Fabiani Pascal, Karimdjee Babou Soilihi, Habre Jihad, Lopez Stephane, Gugenheim Jean
Department of Liver Transplantation, Gastrointestinal and Laparoscopic Surgery, Archet 2 Hospital, 151 Route Saint-Antoine de Ginestière, BP 3079, Nice Cedex 3, France.
Surg Today. 2003;33(10):761-3. doi: 10.1007/s00595-003-2566-7.
Intrathoracic gastric volvulus is an uncommon entity, in which the stomach undergoes organoaxial torsion occurring in the chest due to the concomitant presence of an enlargement of the hiatus. We herein report an unusual case of acute intrathoracic mesenterioaxial volvulus of the stomach. Gastric rotation occurred at the transverse axis and the mobile pylorus herniated in the chest through a large hiatal defect. Following a reduction of the volvulus through the use of a nasogastric tube, the patient underwent an elective laparoscopic repair. The mechanisms of volvulus with the relative diagnostic and therapeutic implications are discussed.
胸腔内胃扭转是一种罕见的病症，其中由于裂孔扩大，胃在胸部发生器官轴扭转。我们在此报告一例不寻常的急性胸腔内胃系膜轴扭转病例。胃以横轴为轴发生旋转，活动的幽门通过一个大的裂孔缺损疝入胸腔。通过使用鼻胃管将扭转复位后，患者接受了择期腹腔镜修复手术。文中讨论了扭转的机制以及相关的诊断和治疗意义。
