Verrept Sam, Lefere Mathieu, De Bruecker Yves
Radiology Department, Imeldaziekenhuis, Bonheiden, Belgium.
J Belg Soc Radiol. 2024 Feb 28;108(1):22. doi: 10.5334/jbsr.3448. eCollection 2024.
Large gastric hernias are common and usually cause minor symptoms. Rarely, complete intrathoracic herniation of the stomach is complicated by strangulation. The underlying mechanism can be gastric volvulus or the less recognized phenomenon of gastric fundus redescent. We describe a case where this rare but potentially lethal complication of gastric herniation is present. Additionally, we show that gastric pneumatosis, a sign associated with ischemia, can be initially visualized on a plain chest radiograph in this setting. Redescent of the fundus is a possible, but unrecognized cause of gastric strangulation in intrathoracic stomachs.
大型胃疝很常见，通常引起轻微症状。胃完全疝入胸腔很少会并发绞窄。其潜在机制可能是胃扭转或较少被认识的胃底下降现象。我们描述了一例存在这种罕见但可能致命的胃疝并发症的病例。此外，我们表明，胃积气作为一种与缺血相关的征象，在此情况下最初可在胸部平片上显示。胃底下降是胸腔内胃绞窄的一个可能但未被认识的原因。
