Brzezinski W, Laskin M M, Wong K S
Department of Surgery, Fort McMurray Regional Hospital, Alta.
Can J Surg. 1993 Jun;36(3):233-5.
Only 52 cases of gastric volvulus have been reported in children and infants. The pathophysiology of the condition relates to an abnormal rotation of the stomach. The authors report a case of an 11-month-old infant who presented with an 8-hour history of retching and obtundation. Abdominal distension and left upper-quadrant tenderness were the predominant physical findings. A diagnosis of mesenteroaxial gastric volvulus with eventration of the left hemidiaphram was made by means of plain-films and an upper gastrointestinal series. The child underwent laparotomy and gastrostomy, made a smooth recovery and was well 36 months postoperatively.
儿童和婴儿胃扭转的病例报告仅有52例。该病的病理生理机制与胃的异常旋转有关。作者报告了一例11个月大的婴儿，有8小时的干呕和意识不清病史。腹胀和左上腹压痛是主要的体格检查发现。通过腹部平片和上消化道造影确诊为系膜轴性胃扭转伴左半膈肌膨出。该患儿接受了剖腹手术和胃造口术，恢复顺利，术后36个月情况良好。
