Guddat Saskia S, Tsokos Michael, Schalinski Sarah, Byard Roger W
Institute of Legal Medicine and Forensic Sciences, Charité-Universitätsmedizin Berlin, Turmstr. 21 (Haus L), 10559 Berlin, Germany.
Int J Legal Med. 2008 Mar;122(2):169-71. doi: 10.1007/s00414-007-0188-0. Epub 2007 Aug 16.
A case of spontaneous gastric perforation is reported in a 75-year-old woman due to massive hemorrhaging from a benign gastric ulcer. Blood was prevented from leaving the stomach due to posterior displacement and rotation of the stomach associated with marked underlying vertebral column kyphoscoliosis. Significant deformity of the spine had caused malpositioning of the stomach as a result of the abnormal shape of the peritoneal and chest cavities. This in turn had led to mechanical obstruction and prevented egress of blood arising from a bleeding arteriole in the base of a chronic gastric ulcer. Rapid distension had resulted from the inability to spontaneously decompress the stomach, which in turn had led to rupture.
报告了一例75岁女性自发性胃穿孔病例，病因是良性胃溃疡大量出血。由于胃向后移位和旋转，同时伴有明显的脊柱后侧凸，血液无法流出胃部。脊柱的严重畸形导致胃位置异常，原因是腹腔和胸腔形状异常。这反过来又导致机械性梗阻，阻止了慢性胃溃疡底部出血小动脉的血液流出。由于胃无法自行减压，导致快速扩张，进而导致破裂。
