Marvulli G
Minerva Med. 1977 May 19;68(25):1755-9.
A case of intermittent transverse mesenteric volvulus with elevation of the left hemidiaphragm and peptic oesophagitis complicated by numerous ulcers, some of them bleeding, is described. Diagnosis was clinched radiologically. Endoscopy make clear the nature of the haematemesis. In the light of the pathogenetic hypotheses applicable to gastro-cardiac syndromes, combined endoscopic and radiological examination may be considered as mandatory.
本文描述了一例间歇性横结肠系膜扭转合并左半膈肌抬高及消化性食管炎并伴有多处溃疡(其中一些有出血)的病例。通过放射学检查确诊。内镜检查明确了呕血的性质。鉴于适用于胃心综合征的发病机制假说,内镜和放射学联合检查可被视为必要手段。