PDF(Pubmed)
Abstract：
Hiatal hernias are commonly encountered in clinical practice. In certain cases, especially in large hiatal hernias, gastric volvulus can occur. Patients with volvulus typically will present with vomiting, chest pain, shortness of breath, and dysphagia. In extreme cases, gastric volvulus can result in gastric necrosis requiring partial or total gastrectomy. Here we highlight a case of a 76-year-old female with a known large type IV hiatal hernia who was found to have gastric volvulus with necrosis requiring partial sleeve gastrectomy. This case demonstrates the rare, but possible complication of gastric necrosis secondary to gastric volvulus from a large hiatal hernia, prompting emergent surgical intervention.
摘要：
食管裂孔疝是临床实践中常见的。在某些情况下,尤其是在大型食管裂孔疝中，胃扭转可以发生。肠扭转患者通常会出现呕吐，胸痛,呼吸急促,和吞咽困难.在极端情况下,胃扭转可导致胃坏死，需要部分或全部胃切除术。在这里，我们重点介绍了一例76岁的女性，患有已知的大型IV型食管裂孔疝，被发现患有胃扭转伴坏死，需要进行部分袖状胃切除术。这个案例证明了罕见的，但胃坏死可能是由食管裂孔疝引起的胃扭转继发的并发症，促使紧急手术干预。
