PDF(Pubmed)
Abstract：
Gastric volvulus (GV) is a rare condition characterized by the rotation of all or part of the stomach around its transversal or longitudinal axis. We report the case of a 76-year-old woman with the acute form of GV, likely exacerbated by hiatal hernia and age-related ligamentous relaxation, evolving for a week before her admission. She underwent a midline laparotomy with fundoplication at 270° and anterior gastropexy. GV poses life-threatening risks in its acute presentation. Surgical management entails restoring the hemodynamic stability, surgical detorsion of the volvulus, and addressing the etiology (hiatal hernia).
摘要：
胃扭转（GV）是一种罕见的疾病，其特征是胃的全部或部分围绕其横向或纵向轴线旋转。我们报道了一个76岁女性急性GV的病例，食管裂孔疝和年龄相关性韧带松弛可能加剧，在她入院前进化了一周.她接受了中线剖腹手术，并在270°胃底折叠术和前胃切除术。GV在其急性表现中构成危及生命的风险。手术治疗需要恢复血液动力学稳定性，手术扭转,并解决病因（食管裂孔疝）。
