急性胃扩张伴坏死和穿孔：一名16岁女孩的病例报告
Acute gastric dilatation with necrosis and perforation: case report of a 16 year old girl.
作者信息
Dympep Badamutlang, Singh Chandra Bhushan, Shakeel Mohd
机构信息
Department of General Surgery, Maulana Azad Medical College, New Delhi, India ; Room No. 73, New Girls Hostel, MAMC Bahadurshah Zaffar Marg, 110002 New Delhi, India.
Department of General Surgery, Maulana Azad Medical College, New Delhi, India ; House No. B-235, Priyadarshini Vihar, 110092 New Delhi, India.
出版信息
Indian J Surg. 2013 Jun;75(Suppl 1):180-1. doi: 10.1007/s12262-012-0562-0. Epub 2012 Jun 20.
Acute gastric dilatation with infarction, necrosis, and perforation is a rare event. Here, we are presenting the case of a 16-year-old girl who presented to the surgical emergency with vomiting, acute pain in the abdomen, and distension of abdomen. X-ray abdomen showed gas under the diaphragm and massively dilated gastric shadow. Emergency laparotomy was done in which massive dilatation of the stomach with necrosis and perforation was found. Total gastrectomy with esophagojejunostomy was performed and the patient survived.
急性胃扩张伴梗死、坏死及穿孔是一种罕见的情况。在此，我们报告一例16岁女孩的病例，她因呕吐、急性腹痛和腹部膨隆而被送至外科急诊。腹部X线显示膈下游离气体及胃影巨大扩张。进行了急诊剖腹探查术，术中发现胃巨大扩张伴坏死及穿孔。实施了全胃切除术并进行食管空肠吻合术，患者存活下来。
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