PDF(Pubmed)
Abstract：
We are reporting a case of gastric volvulus in a 52-year-old man in the setting of a paraesophageal hernia initially identified on computerized tomography (CT). CT of the abdomen showed a large paraesophageal hernia with intra-thoracic herniation of the distal stomach and gastroduodenal junction, resulting in mesenteroaxial rotation consistent with acute gastric volvulus. Esophagogastroduodenoscopy (EGD) confirmed the presence of the gastric volvulus, which was initially temporized with endoscopic detorsion. He subsequently had nasogastric tube placement and ultimately underwent a laparoscopic gastropexy. He recovered uneventfully with plans for Roux-en-Y gastric bypass surgery.
摘要：
我们正在报告一名52岁男子的胃扭转病例，该病例最初是在计算机断层扫描（CT）上发现的食道旁疝。腹部CT显示大的食管旁疝伴远端胃和胃十二指肠交界处的胸内疝，导致与急性胃扭转一致的肠系膜轴旋转。食管胃十二指肠镜检查（EGD）证实存在胃扭转，这最初是由内窥镜矫正造成的。随后，他进行了鼻胃管放置，并最终进行了腹腔镜胃切除术。他计划进行Roux-en-Y胃旁路手术后恢复顺利。
