关键词: abdominal surgical emergency acute abdominal pain emergency abdominal surgery gastric volvulus hiatal hernia

来  源:   DOI:10.7759/cureus.44943   PDF(Pubmed)

Abstract:
We describe the case of a 69-year-old female who thought she had \"food poisoning\", which prompted her visit to the Emergency Department for evaluation of her vomiting and abdominal discomfort. Contrasted computed tomography imaging with contrast of the abdomen subsequently revealed the diagnosis of gastric volvulus, and the patient was promptly taken for surgical intervention. Gastric volvulus is rare and presents with a nonspecific history, exam, and laboratory findings. In the acute care setting, it is important to maintain a high clinical suspicion for this diagnosis, as timely imaging and intervention are crucial to decreasing patient morbidity and mortality.
摘要:
我们描述了一个69岁的女性,她认为自己有“食物中毒”,这促使她去急诊室评估她的呕吐和腹部不适。腹部对比的计算机断层扫描成像随后显示了胃扭转的诊断,患者被及时采取手术干预。胃扭转是罕见的,并有非特异性的病史,考试,和实验室发现。在急性护理环境中,对这种诊断保持高度的临床怀疑是很重要的,因为及时的成像和干预对于降低患者发病率和死亡率至关重要。
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