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“巨大食管裂孔疝”:胃扭转的非典型表现

"A Large Hiatal Hernia": Atypical Presentation of Gastric Volvulus.

作者信息

Kiyani Amirali, Khosla Manraj, Anufreichik Veronika, Chuang Keng-Yu

机构信息

Maricopa Medical Center, Department of Internal Medicine, Phoenix, Arizona.

St. Joseph's Medical Center, Department of Internal Medicine, Phoenix, Arizona.

出版信息

Clin Pract Cases Emerg Med. 2017 Jun 6;1(3):187-189. doi: 10.5811/cpcem.2017.2.31075. eCollection 2017 Aug.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22cb/5965166/6c3f15933b2e/cpcem-01-187-g001.jpg

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