Kiyani Amirali, Khosla Manraj, Anufreichik Veronika, Chuang Keng-Yu
Maricopa Medical Center, Department of Internal Medicine, Phoenix, Arizona.
St. Joseph's Medical Center, Department of Internal Medicine, Phoenix, Arizona.
Clin Pract Cases Emerg Med. 2017 Jun 6;1(3):187-189. doi: 10.5811/cpcem.2017.2.31075. eCollection 2017 Aug.
Gastric volvulus is a rare condition defined as an abnormal rotation of the stomach by more than 180 degrees. Gastric volvulus could present atypically with simply nausea and vomiting. A high index of suspicion is required for prompt diagnosis and treatment, especially when a patient presents with subacute intermittent gastric volvulus. Here, we present the case of a 56-year-old female with lung cancer status post left lower lobectomy undergoing chemotherapy who presented with intermittent nausea and upper abdominal pain for a few weeks. Barium study and computed tomography revealed acute mesenteroaxial gastric volvulus and she was treated with urgent surgical intervention.
胃扭转是一种罕见病症，定义为胃发生超过180度的异常扭转。胃扭转可能表现不典型，仅有恶心和呕吐症状。对于及时诊断和治疗，需要高度的怀疑指数，尤其是当患者表现为亚急性间歇性胃扭转时。在此，我们报告一例56岁女性病例，该患者肺癌左肺下叶切除术后接受化疗，出现间歇性恶心和上腹部疼痛数周。钡餐检查和计算机断层扫描显示为急性系膜轴型胃扭转，她接受了紧急手术干预治疗。
