Grignon B, Sebbag H, Reibel N, Zhu X, Grosdidier G, Roland J
Service d'Imagerie Guilloz, Hôpital Central, CHU de Nancy.
J Radiol. 2004 Jul-Aug;85(7-8):1070-3. doi: 10.1016/s0221-0363(04)97722-0.
Acute gastric volvulus is an infrequent entity. Management is surgical. Diagnosis frequently is delayed because of the non-specific nature of presenting symptoms. The authors report a case of acute gastric volvulus diagnosed by computed tomography in a 92 year old woman that was confirmed at surgery. The pathophysiology, classification and different presentations of this entity are briefly reviewed. CT findings suggesting gastric volvulus are reviewed as well.
急性胃扭转是一种罕见的病症。治疗方法为手术治疗。由于症状缺乏特异性,诊断常常延迟。作者报告了一例92岁女性患者,通过计算机断层扫描诊断为急性胃扭转,并在手术中得到证实。本文简要回顾了该病症的病理生理学、分类及不同表现。同时也对提示胃扭转的CT表现进行了回顾。