Gill Harpreet, Guan Angel, Nguyen Alexandra, Kim So Un, Bhat Gunjan, Malkoc Aldin, Patel Sunal
Department of Surgery, Arrowhead Regional Medical Center, 400 N Pepper Ave, Colton, CA 92324, United States.
Department of Surgery, Kaiser Permanente Medical Center, 2295 S Vineyard Avenue, Ontario, CA 91761, United States.
J Surg Case Rep. 2024 Nov 6;2024(11):rjae678. doi: 10.1093/jscr/rjae678. eCollection 2024 Nov.
Gastric volvulus is a rare and potentially life-threatening condition that usually presents acutely and requires immediate intervention via either endoscopic or surgical detorsion. Most often, it presents secondary to a hiatal hernia, with herniation and torsion of the stomach through the hiatus. Only a small subset of patients present with gastric volvulus after Nissen fundoplication for hiatal hernia repair. We report the case of an elderly patient with a previous hiatal hernia repair with Nissen fundoplication who presented with an intra-abdominal gastric volvulus that developed over the course of several months. The combination of her surgical history and volvulus etiology made her disease rare. She was treated with laparoscopic surgery and gastropexy with gastrostomy tube placement, which led to the resolution of the upper gastrointestinal symptoms.
胃扭转是一种罕见且可能危及生命的疾病，通常急性发作，需要通过内镜或手术扭转立即进行干预。最常见的情况是，它继发于食管裂孔疝，胃通过裂孔发生疝出和扭转。只有一小部分患者在接受食管裂孔疝修补的nissen胃底折叠术后出现胃扭转。我们报告了一例老年患者，此前因食管裂孔疝接受了nissen胃底折叠术，数月后出现腹内胃扭转。她的手术史和扭转病因相结合，使她的病情较为罕见。她接受了腹腔镜手术、胃固定术并放置胃造瘘管，上消化道症状得以缓解。
