胃扭转与游走脾：一种罕见的外科急症。
Gastric volvulus and wandering spleen: a rare surgical emergency.
作者信息
Lianos Georgios, Vlachos Konstantinos, Papakonstantinou Nikolaos, Katsios Christos, Baltogiannis Georgios, Godevenos Dimitrios
机构信息
Division of Surgery, University Hospital of Ioannina, St. Niarchou Avenue, 45110 Ioannina, Greece.
出版信息
Case Rep Surg. 2013;2013:561752. doi: 10.1155/2013/561752. Epub 2013 Feb 7.
Abstract
Gastric volvulus is a rare but potentially life-threatening clinical entity due to possible gastric necrosis. A wandering spleen may also be associated with gastric volvulus. Patients presenting with the triad epigastralgia, vomiting followed by retching, and difficulty or inability to pass a nasogastric tube into the stomach are likely to have gastric volvulus. The operating surgeon should include this rare entity in the differential diagnosis when dealing with a patient with such a clinical profile. Herein, we present a case of gastric volvulus associated with a wandering spleen in a 28-year-old Caucasian woman and we provide a brief review of the literature on this issue.
摘要
胃扭转是一种罕见但可能危及生命的临床病症，因为可能会发生胃坏死。游走脾也可能与胃扭转有关。出现上腹部疼痛、呕吐后干呕以及难以或无法将鼻胃管插入胃内这三联征的患者很可能患有胃扭转。手术医生在处理具有这种临床特征的患者时，应将这种罕见病症纳入鉴别诊断。在此，我们报告一例28岁白种女性的胃扭转合并游走脾病例，并对该问题的文献进行简要综述。
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