PDF(Pubmed)
Abstract：
Posterior gastric perforation is a very rare finding, difficult to diagnose due to the insidious onset of upper abdominal symptoms, and no air under the diaphragm on X-ray. Posterior gastric perforation which opens into transverse mesocolon is even rarer. This is a case report done to entail such a rare case, with only two cases reported in the past. We present the case of a 21-year-old female with pain in the epigastric region spreading to involve the whole abdomen, fever, vomiting, and anorexia. In our case, radiological findings revealed pneumoperitoneum. Intraoperatively, a tract was identified between the posterior wall of the stomach and transverse mesocolon. Tract was excised and primary repair was done using the Graham patch method.
摘要：
后胃穿孔是一个非常罕见的发现，由于上腹部症状的隐匿性发作，难以诊断，X光片的光圈下没有空气.通向横结结的后胃穿孔更为罕见。这是一个罕见的病例报告，过去只报告了两例。我们介绍了一名21岁的女性，其上腹部区域的疼痛扩散到整个腹部，发烧,呕吐,和厌食症。在我们的案例中,放射学检查结果显示气腹。术中,在胃后壁和横结肠系膜之间发现了一条管道。切除尿道，并使用Graham补片方法进行初步修复。
