Van Olmen Daan, Somville Francis, Van der Mieren Gerry
a Faculty of Medicine , University of Leuven , Leuven , Belgium.
b Department of Emergency Medicine and Traumatology , AZ Dimpna , Geel , Belgium.
Acta Chir Belg. 2018 Aug;118(4):254-257. doi: 10.1080/00015458.2017.1353235. Epub 2017 Jul 20.
Gastric volvulus is an uncommon, but severe pathology requiring early diagnosis and urgent treatment. Its atypical symptoms and rarity make it difficult to diagnose, possibly leading to delayed treatment and fatal complications.
We present a case of a 73-year-old patient with Parkinson's disease with complaints of severe epigastric pain, emesis and an increased lipase.
Diagnosis of an organo-axial gastric volvulus was made. Treatment consisted of reduction of the volvulus by decompression via nasogastric tube. The underlying cause was a para-esophageal hernia that was repaired by Nissen-fundoplication later on.
We describe symptomatology, diagnostic and therapeutic options of gastric volvulus.
胃扭转是一种罕见但严重的病症，需要早期诊断和紧急治疗。其非典型症状和罕见性使其难以诊断，可能导致治疗延误和致命并发症。
我们报告一例73岁帕金森病患者，主诉严重上腹痛、呕吐和脂肪酶升高。
诊断为器官轴型胃扭转。治疗方法是通过鼻胃管减压使扭转复位。根本原因是食管旁疝，随后通过nissen胃底折叠术进行修复。
我们描述了胃扭转的症状、诊断和治疗选择。
