Lopez D
General Hospital, Kota Bharu, Kelantan Darul Naim.
Med J Malaysia. 1993 Sep;48(3):351-4.
A case of acute gastric volvulus associated with eventration of the diaphragm in a previously well 6 year old child is reported. The child presented with acute abdominal pain, abdominal distension and vomiting. At operation, mesentero-axial type gastric volvulus was found, associated with laxity of the gastro-splenic, gastrohepatic and gastrocolic ligaments and eventration of the left hemidiaphragm. Rapid recovery followed surgery that included release of distension and fixation of the stomach to the anterior abdominal wall. There has been no evidence of recurrence on a 2 year follow-up.
报告了一例6岁健康儿童发生急性胃扭转并伴有膈膨出的病例。该患儿表现为急性腹痛、腹胀和呕吐。手术中发现为系膜轴型胃扭转，伴有胃脾韧带、胃肝韧带和胃结肠韧带松弛以及左半膈膨出。手术包括解除胃扩张并将胃固定于前腹壁，术后患儿迅速康复。随访2年无复发迹象。
