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急性胃扭转:食管裂孔疝的一种罕见并发症。

Acute Gastric Volvulus: A Rare Complication of Hiatal Hernia.

作者信息

Nagpal Sagar, Magacha Hezborn M, Goenka Puneet, Vedantam Venkata

机构信息

Department of Internal Medicine, East Tennessee State University Quillen College of Medicine, Johnson City, USA.

Division of Gastroenterology and Hepatology, East Tennessee State University Quillen College of Medicine, Johnson City, USA.

出版信息

Cureus. 2024 Aug 3;16(8):e66102. doi: 10.7759/cureus.66102. eCollection 2024 Aug.

Abstract

Gastric volvulus, characterized by stomach rotation, is a rare condition arising from congenital or acquired factors. Predominantly affecting pediatric and elderly populations, it necessitates a high index of suspicion for timely diagnosis. Delayed recognition may precipitate severe complications such as ischemia, strangulation, and septic shock, often culminating in fatal outcomes. We present a case of a 71-year-old male initially admitted for suspected gastroenteritis, subsequently developing acute gastric volvulus during hospitalization, necessitating immediate surgical intervention. This case contributes to the scant literature on gastric volvulus in the elderly demographic.

摘要

胃扭转以胃旋转为特征,是一种由先天性或后天性因素引起的罕见病症。主要影响儿童和老年人群,需要高度怀疑以进行及时诊断。识别延迟可能会引发严重并发症,如缺血、绞窄和感染性休克,常常导致致命后果。我们报告一例71岁男性病例,该患者最初因疑似肠胃炎入院,随后在住院期间发生急性胃扭转,需要立即进行手术干预。该病例为老年人群胃扭转方面稀少的文献增添了内容。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b332/11369288/c44b686ff6cb/cureus-0016-00000066102-i01.jpg

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