Department of Pediatric Surgery, Dr BC Roy Memorial Hospital for Children, Kolkata, India.
Indian J Pediatr. 2010 Jun;77(6):691-2. doi: 10.1007/s12098-010-0080-7. Epub 2010 Jun 8.
Neonatal acute gastric volvulus is rare and often associated with diaphragmatic anomalies. Patients usually present with vomiting and respiratory distress, but excessive salivation, failure to pass a nasogastric tube beyond 20 cms and the presence of a space occupying thoracic lesion should also prompt a search for the entity. The authors describe a case presenting with these atypical findings and stress the importance of the plain radiograph chest to make a diagnosis.
新生儿急性胃扭转罕见,常与膈肌异常有关。患者通常表现为呕吐和呼吸困难,但过度流涎、鼻胃管插入超过 20 厘米仍未通过和存在占位性胸腔病变也应提示寻找该病症。作者描述了一例具有这些非典型表现的病例,并强调了胸部平片对做出诊断的重要性。