Kang David J, D'Alessio Matthew, Pan Andrew S, Jaffe Victor A
NOVA Southeastern University College of Osteopathic Medicine, Davie, FL, USA
Department of General Surgery, Bethesda Memorial Hospital, Boynton Beach, FL, USA.
J Surg Case Rep. 2013 Oct 15;2013(10):rjt078. doi: 10.1093/jscr/rjt078.
Mesenteroaxial volvulus is a form of gastric volvulus that rotates around the short axis of the stomach. Mesenteroaxial volvulus typically presents secondary to an anatomical defect with symptoms that include epigastric pain, retching, dysphagia and early satiety. Our patient presented with episodic abdominal pain, nausea and vomiting for 2 years. Previous imaging was unremarkable but an esophagogastroduodenoscopy done when the patient most recently presented with abdominal pain revealed a mesenteroaxial volvulus. He underwent a laparoscopic gastrostomy-tube gastropexy and has not had any recurrence of his symptoms to date. This case illustrates the difficulties in diagnosing an intermittent volvulus as untimely imaging of a temporarily unfolded volvulus can delay diagnosis and treatment.
系膜轴性胃扭转是胃扭转的一种形式，它围绕胃的短轴旋转。系膜轴性胃扭转通常继发于解剖缺陷，症状包括上腹部疼痛、干呕、吞咽困难和早饱感。我们的患者有2年的间歇性腹痛、恶心和呕吐症状。既往影像学检查无异常，但患者最近一次出现腹痛时进行的食管胃十二指肠镜检查发现了系膜轴性胃扭转。他接受了腹腔镜胃造瘘管胃固定术，迄今为止症状未再复发。该病例说明了诊断间歇性扭转的困难，因为对暂时展开的扭转进行不及时的影像学检查会延迟诊断和治疗。
