胃扭转是一种罕见的疾病,可能有各种症状,可能作为急性或慢性疾病发生。体征和症状可能包括恶心,呕吐,腹痛,和胸痛。必须及时识别急性胃扭转,由于诊断延迟可能导致前肠梗阻和绞窄风险增加,如果没有及时识别和治疗。此外,同样危及生命的继发性并发症,比如心律失常,可以发生。出于这个原因,在对有腹痛的患者进行鉴别诊断时,强调胃扭转的可能性是很重要的。此病例报告描述了一名73岁的女性,过去没有心脏病危险因素,出现室上性心动过速(SVT)症状的急诊科(ED),间歇性腹泻,和每个紧急医疗服务(EMS)的恶心。EMS到达患者家中后,她的心率是每分钟210次(bpm)。尽管她的病情似乎是由心脏病引起的,影像学研究发现了一个大的食管裂孔疝,胃通过它移位。病人的胃膨胀了,形成肠扭转并对胸部器官施加压力。此病例突出了与胃扭转相关的罕见但可能危及生命的心律失常。
Gastric volvulus is a rare condition that may present with various symptoms and may occur as an acute or chronic condition. Signs and symptoms may include nausea, vomiting, abdominal pain, and chest pain. It is imperative to recognize acute gastric volvulus in a timely fashion, since a delay in diagnosis may result in foregut obstruction and increased risk of strangulation, if not recognized and treated promptly. Additionally, secondary complications that are equally life-threatening, such as cardiac arrhythmias, can occur. For this very reason, it is important to highlight gastric volvulus as a possibility when developing a differential diagnosis in patients complaining of abdominal pain. This
case report describes a 73-year-old female with no past cardiac risk factors, who presented to the emergency department (ED) with symptoms of supraventricular tachycardia (SVT), intermittent diarrhea, and nausea per emergency medical services (EMS). Upon EMS arrival at the patient\'s home, her heart rate was 210 beats per minute (bpm). Despite her condition appearing to result from a cardiac condition, imaging studies found a large hiatal hernia through which the stomach had displaced. The patient\'s stomach had distended, forming a volvulus and placing pressure on thoracic organs. This
case highlights a rare but potentially life-threatening cardiac arrhythmia associated with gastric volvulus.