Costa Marta R P, Matos Ana S B, Almeida João R, Oliveira Fernando J
Department of Surgery B, Coimbra Hospital and University Center, Praceta Prof. Mota Pinto, 3000-075 Coimbra, Portugal.
J Surg Case Rep. 2018 Aug 22;2018(8):rjy227. doi: 10.1093/jscr/rjy227. eCollection 2018 Aug.
Gastric volvulus is an uncommon cause of gastric obstruction. It can be classified as primary when no underlying condition is identified as the cause for the rotation. An acute presentation includes typical symptoms and is frequently detected by imaging studies. Chronic cases present with intermittent vague symptoms and imaging studies may be normal during the symptomatic interval. The lack of specific symptoms and signs delays the diagnosis of chronic volvulus. However, appropriate treatment demands prompt diagnosis. We report two cases of primary gastric volvulus, with chronic or subacute symptoms and normal imaging studies during the asymptomatic periods. Both were treated surgically and had an uneventful follow-up.
胃扭转是胃梗阻的一种罕见原因。当未发现潜在病因导致胃扭转时，可将其归类为原发性。急性表现包括典型症状，常通过影像学检查发现。慢性病例表现为间歇性模糊症状，在症状发作期间影像学检查可能正常。缺乏特异性症状和体征会延迟慢性胃扭转的诊断。然而，恰当的治疗需要及时诊断。我们报告两例原发性胃扭转病例，均有慢性或亚急性症状，且在无症状期影像学检查正常。两例均接受了手术治疗，术后随访情况良好。
