Kusunoki M, Hatada T, Ikeuchi H, Okamoto T, Sakanoue Y, Utsunomiya J
Second Department of Surgery, Hyogo College of Medicine, Japan.
Hepatogastroenterology. 1992 Dec;39(6):586-8.
Myotonic dystrophy is an autosomal inherited disorder of both striated and smooth muscle, and is considered to be a rare cause of gastrointestinal dilatation and abnormal peristalsis. We report on a patient with myotonic dystrophy complicated by gastric volvulus. A 57-year-old female with myotonic dystrophy suddenly developed abdominal pain, nausea and vomiting. X-ray examinations revealed gastric dilatation and pyloroantral obstruction, consistent with acute gastric volvulus. The patient underwent successful emergency gastrectomy. Gastric volvulus is often an unrecognized surgical emergency, but its clinical and radiographic features are so characteristic that accurate diagnosis is possible if the condition is kept in mind. Thus, the clinician should consider the possibility of gastric volvulus when evaluating gastrointestinal complaints in patients with myotonic dystrophy.
强直性肌营养不良是一种常染色体显性遗传的横纹肌和平滑肌疾病，被认为是胃肠道扩张和蠕动异常的罕见病因。我们报告一例强直性肌营养不良并发胃扭转的患者。一名57岁患有强直性肌营养不良的女性突然出现腹痛、恶心和呕吐。X线检查显示胃扩张和幽门窦梗阻，符合急性胃扭转。该患者接受了成功的急诊胃切除术。胃扭转常常是一种未被认识的外科急症，但其临床和影像学特征非常典型，如果对此病有所警惕，准确诊断是可能的。因此，临床医生在评估强直性肌营养不良患者的胃肠道症状时应考虑胃扭转的可能性。
