Wasselle J A, Norman J
Department of Surgery, University of South Florida, Tampa.
Am J Gastroenterol. 1993 Oct;88(10):1780-4.
A 61-yr-old women presented with vomiting, abdominal pain, and distention. Nasogastric and endoscopic decompression failed to relieve her distention. Radiographic studies suggested gastric necrosis without other pathology. Laparotomy revealed a rare form of mesenteroaxial volvulus of the fundus with frank necrosis. The patient underwent gastric resection with anterior gastropexy followed by an uncomplicated postoperative course. This paper discusses the etiology, anatomic definition, and therapeutic options in patients with acute gastric volvulus.
一名61岁女性出现呕吐、腹痛和腹胀症状。鼻胃管减压和内镜减压均未能缓解其腹胀。影像学检查提示胃坏死，无其他病变。剖腹探查发现一种罕见的胃底系膜轴性扭转伴明显坏死。患者接受了胃切除术并加做胃前固定术，术后恢复顺利。本文讨论了急性胃扭转患者的病因、解剖学定义及治疗选择。
