Division of General Surgery, Department of Surgery, The University of Western Ontario, London, Ontario, Canada.
Ann Thorac Surg. 2010 Mar;89(3):e15-6. doi: 10.1016/j.athoracsur.2009.12.026.
Gastric volvulus can occur along the organoaxial axis or the mesenteroaxial axis. We present a patient with a gastric bascule: a gastric volvulus due to two lead points. A 17-year-old boy with dextrogastria, asplenia, and left diaphragmatic eventration presented with acute onset of nonbilious emesis, jaundice, and diffuse abdominal tenderness. Surgical exploration demonstrated a gastric volvulus, with lead points of torsion at the gastroesophageal junction and the second part of the duodenum, causing biliary obstruction. After decompression, reduction, and gastropexy, the patient recovered well. Gastric bascule is a subtype of gastric volvulus, whereby two lead points cause gastric rotation and folding of the stomach upon itself.
胃扭转可沿器官轴或系膜轴发生。我们报告了一例胃底折叠：由两个牵引点引起的胃扭转。一位 17 岁男孩患有右旋胃、脾缺如和左侧膈膨出，表现为急性非胆汁性呕吐、黄疸和弥漫性腹痛。手术探查显示胃扭转，胃食管交界处和十二指肠第二段有扭转牵引点，导致胆道梗阻。减压、复位和胃固定后，患者恢复良好。胃底折叠是胃扭转的一种亚型，两个牵引点导致胃旋转和胃自身折叠。
