Arima Kota, Hashimoto Daisuke, Takata Noboru, Doi Yasuro, Yoshinaka Ichiro, Harada Kazunori, Baba Hideo
Department of Surgery, Amakusa Regional Medical Center, 854-1 Jikiba, Kameba-machi, Amakusa, Kumamoto, 863-0046, Japan.
Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Sciences, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan.
Surg Case Rep. 2015 Dec;1(1):5. doi: 10.1186/s40792-014-0005-1. Epub 2015 Jan 16.
Acute gastric volvulus is a torsion of the stomach by more than 180° and a life-threatening condition. We present a 50-year-old male patient with acute abdominal pain who has Down syndrome/trisomy 21. Computed tomography showed a significant distended stomach with features of a severe gastric volvulus. Emergency operation in form of reduction and gastropexy was performed. We are not aware of any similar cases published in the English literature, where as gastric volvulus occurred in a patient with Down syndrome.
急性胃扭转是胃扭转超过180°的一种危及生命的病症。我们报告一例患有唐氏综合征/21三体综合征的50岁男性急性腹痛患者。计算机断层扫描显示胃显著扩张,具有严重胃扭转的特征。进行了复位和胃固定术形式的急诊手术。我们不知道英文文献中有没有发表过类似病例,即胃扭转发生在唐氏综合征患者身上。