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急性胃腔大量扩张是由于胃的闭环梗阻所致:一种不常见且罕见的现象。

Acute massive gastric dilatation as a result of closed-loop obstruction of stomach: an unusual and rare phenomenon.

机构信息

Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Pondicherry, India.

Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Pondicherry, India

出版信息

BMJ Case Rep. 2020 Sep 2;13(9):e235943. doi: 10.1136/bcr-2020-235943.

Abstract

Acute massive gastric dilatation (AMGD) is a rare event which is usually underdiagnosed. It can occur due to multiple etiologies, including medical and surgical, or as a postoperative complication. We report a rare case of AMGD as a result of closed-loop obstruction of the stomach following feeding jejunostomy in a patient with carcinoma oesophagus. A high index of suspicion, early diagnosis and prompt management is the key to the successful treatment. To the best of our knowledge, this is the second case report of a closed-loop obstruction of the stomach leading to AMGD in published literature.

摘要

急性胃扩张(AMGD)是一种罕见的疾病,通常容易漏诊。它可由多种病因引起,包括内科和外科病因,也可作为术后并发症发生。我们报告了一例罕见的病例,由于食管癌患者行肠内营养空肠造瘘术后发生胃内闭袢性梗阻,导致 AMGD。高度怀疑、早期诊断和及时处理是成功治疗的关键。据我们所知,这是文献中第二例报道的因胃内闭袢性梗阻导致 AMGD 的病例。

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