Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Pondicherry, India.
Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Pondicherry, India
BMJ Case Rep. 2020 Sep 2;13(9):e235943. doi: 10.1136/bcr-2020-235943.
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.
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。