胃轻瘫合并胃下垂表现为儿童下腹部肿块：一例报告
Gastroparesis associated with gastroptosis presenting as a lower abdominal bulking mass in a child: a case report.
作者信息
Christianakis Efstratios, Bouchra Konstantina, Koliatou Aikaterini, Paschalidis Nikolaos, Filippou Dimitrios
机构信息
Departments of Pediatric Surgery, Pendeli Children's General Hospital, Athens, Greece.
出版信息
Cases J. 2009 Nov 4;2:184. doi: 10.1186/1757-1626-2-184.
BACKGROUND
Gastroparesis is defined as an inhibition of the gastric motility associated with delayed gastric emptying, which is mainly presented with acute dyspepsia. Gastroptosis is the downward displacement of the stomach.
CASE REPORT
We report a rare case of secondary gastroparesis due to gastroptosis in an 11-year-old female child. The patient complained for bulking mass in the left lower quadrate presented a week ago, which was mimicking a large abdominal hernia. The laboratory and radiological exams revealed an excessive gastroptosis associated with gastroparesis. We searched the literature but we failed to find other cases with idiopathic gastroptosis in a child. The patient was treated conservatively and six months after the initial diagnosis and treatment the patient does not complains for dyspepsia.
CONCLUSION
Gastroparesis associated with gastroptosis is a rare entity that can be treated conservatively with acceptable results.
背景
胃轻瘫被定义为与胃排空延迟相关的胃动力抑制，主要表现为急性消化不良。胃下垂是胃的向下移位。
病例报告
我们报告一例11岁女童因胃下垂导致继发性胃轻瘫的罕见病例。患者主诉一周前左下腹出现肿块，类似巨大腹疝。实验室和影像学检查显示胃下垂过度且伴有胃轻瘫。我们检索了文献，但未发现其他儿童特发性胃下垂的病例。患者接受了保守治疗，在初始诊断和治疗六个月后，患者不再抱怨消化不良。
结论
胃下垂相关的胃轻瘫是一种罕见的病症，可以通过保守治疗取得可接受的效果。
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