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[一例儿童急性胃扭转病例]

[A case of acute gastric volvulus in a child].

作者信息

Rantomalala H Y H, Rajaonarivony T, Rakototiana A F, Rakotoarisoa A J C, Ramarosandratana J L, Razakatiana L, Razafindramboa H M, Ranaivozanany A

机构信息

CHU-HJRA, BP 4150, 101 Antananarivo Madagascar.

出版信息

Arch Pediatr. 2005 Dec;12(12):1726-8. doi: 10.1016/j.arcped.2005.09.025. Epub 2005 Nov 10.

Abstract

Gastric volvulus is an abnormal rotation of the stomach around its axis. The acute form is a surgical emergency, which doesn't tolerate any therapeutic delay. We report on a case in a young girl, revealed by painful epigastric mass and distended gastric bubble on abdominal X-ray. This case was been successfully treated by detorsion and gastropexy. The clinical picture of gastric volvulus is characterised by the Borchardt triad of symptoms: upper abdominal pain, vomiting and difficulty to pass a nasogastric tube. The gastrointestinal barium series and CT-scan help to confirm the diagnosis. As was demonstrated in this case, the treatment is surgical by reducing the volvulus and fixing the stomach to prevent recurrence.

摘要

胃扭转是胃围绕其轴的异常旋转。急性胃扭转是一种外科急症,不容许任何治疗延误。我们报告一例年轻女孩病例,其通过上腹部疼痛性肿块及腹部X线显示胃泡扩张而被发现。该病例通过扭转复位和胃固定术成功治愈。胃扭转的临床表现以博查特三联征为特征:上腹部疼痛、呕吐和插鼻胃管困难。胃肠钡餐造影和CT扫描有助于确诊。如本病例所示,治疗方法是通过扭转复位和固定胃来防止复发的手术治疗。

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