University of Queensland Medical School, University of Queensland, 11 Wyndham St, Herston, QLD, 4006, Australia.
Victorian Institute of Forensic Medicine/Department of Forensic Medicine, Monash University, 65 Kavanagh St, Southbank, Victoria, 3006, Australia.
Forensic Sci Med Pathol. 2024 Jun;20(2):534-541. doi: 10.1007/s12024-023-00642-1. Epub 2023 May 13.
Gastric volvulus is a rare cause of gastric obstruction, due to the rotation of the stomach by more than 180°. It is a rare but life-threatening medical emergency that is considered difficult to diagnose at the initial clinical presentation. Forensic pathologists may be presented with gastric volvulus in several ways, for instance, as a cause of sudden and unexpected death or in the context of suspected clinical errors. The post-mortem examination of gastric volvulus may be challenging, due to the specific technical issues it presents and the various mechanisms by which volvulus may cause death. We therefore present five cases of gastric volvulus that in combination represent almost the entire spectrum of presentations and post-mortem findings, to discuss how gastric volvulus may come to the attention of a forensic pathologist, the approach and findings at post-mortem examination (including post-mortem CT), and the variety of mechanisms by which gastric volvulus may result in death.
胃扭转是一种罕见的胃梗阻原因，由于胃旋转超过 180°。它是一种罕见但危及生命的医疗急症，在初始临床表现时被认为难以诊断。法医病理学家可能会以多种方式遇到胃扭转，例如，作为突然和意外死亡的原因，或者在怀疑临床错误的情况下。胃扭转的尸检可能具有挑战性，因为它提出了特定的技术问题，并且扭转可能通过多种机制导致死亡。因此，我们提出了 5 例胃扭转病例，它们结合起来几乎代表了所有的表现和尸检结果，以讨论胃扭转如何引起法医病理学家的注意、尸检检查的方法和发现（包括尸检 CT），以及胃扭转导致死亡的多种机制。
