十二指肠溃疡穿孔伴内脏转位及右位心

PERFORATED DUODENAL ULCER ASSOCIATED WITH SITUS INVERSUS AND DEXTROCARDIA.

作者信息

Ibrahim Mumtaz, Hussain Dildar, Waheed Seema, Tahir Raazia, Haider Ghulam, Ali Nauvan, Sarfraz Shahid Latif

出版信息

J Ayub Med Coll Abbottabad. 2016 Jan-Mar;28(1):199-200.

Abstract

A 32 years old gentleman, presented in emergency department, with complaints of sudden onset of severe upper abdominal pain, associated with nausea and vomiting. He was a known case of acid peptic disease. His abdominal examination showed signs of peritonitis. X-ray chest showed pneumoperitoneum, with dextrocardia. Ultrasound showed situs inversus. Exploration confirmed the diagnosis of perforated ulcer and situs inversus. Grahm's patch repair of perforation was done. His postoperative recovery was smooth.

摘要

一名32岁男性患者因突发剧烈上腹痛伴恶心、呕吐被紧急送往急诊科。他是一名已知的消化性溃疡病患者。腹部检查显示有腹膜炎体征。胸部X线显示气腹及右位心。超声显示内脏反位。探查证实为溃疡穿孔合并内脏反位。行穿孔修补术（格雷厄姆修补法）。术后恢复顺利。