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成人急性腹部综合征的一种罕见病因:胃扭转——病例系列

A rare etiology of acute abdominal syndrome in adults: Gastric volvulus - Cases series.

作者信息

Altintoprak Fatih, Yalkin Omer, Dikicier Enis, Kivilcim Taner, Arslan Yusuf, Gunduz Yasemin, Ozkan Orhan Veli

机构信息

Sakarya University, Faculty of Medicine, Department of General Surgery, Turkey.

Sakarya University, Research and Educational Hospital, Department of General Surgery, Turkey.

出版信息

Int J Surg Case Rep. 2014;5(10):731-4. doi: 10.1016/j.ijscr.2014.08.024. Epub 2014 Aug 30.

Abstract

INTRODUCTION

Gastric volvulus is a rare surgical emergency with a high mortality rate that requires urgent surgical management.

PRESENTATION OF CASE

A 19-year-old male and 51-year-old female patient underwent emergency surgery with a prediagnosis of acute abdomen syndrome, and a 60-year-old female patient underwent elective surgery due to diaphragmatic hernia. Abdominal exploration revealed gastric volvulus together with perforation in received emergency surgery patients, and a mesenteroaxial gastric volvulus due to diaphragmatic defect in third patient.

DISCUSSION

Gastric volvulus is classified into four subgroups depending on the mechanism of development, and organoaxial form is the most common type of gastric volvulus. The most challenging step in diagnosing gastric volvulus is the consideration of this diagnosis.

CONCLUSION

Preoperative diagnosis is often difficult, and its management involves surgical correction of the pathology followed by institution of resuscitative treatment.

摘要

引言

胃扭转是一种罕见的外科急症,死亡率高,需要紧急手术治疗。

病例介绍

一名19岁男性和一名51岁女性患者因初步诊断为急腹症综合征而接受了急诊手术,一名60岁女性患者因膈疝接受了择期手术。腹部探查显示,接受急诊手术的患者存在胃扭转并伴有穿孔,第三名患者因膈肌缺损出现系膜轴型胃扭转。

讨论

胃扭转根据其发生机制可分为四个亚组,器官轴型是最常见的胃扭转类型。诊断胃扭转最具挑战性的步骤是考虑到这种诊断。

结论

术前诊断往往困难,其治疗包括对病变进行手术矫正,随后进行复苏治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cecb/4189061/edfc83ab93ba/gr1.jpg

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