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Mesenteroaxial gastric volvulus: CT findings

Year 2020, Volume: 59 Issue: 2, 147 - 148, 30.06.2020
https://doi.org/10.19161/etd.756216

Abstract

A 65-year-old female patient presented with complaints of abdominal pain, nausea, vomiting, constipation, and inability to perform defecation. The patient complained of abdominal pain and constipation for several days, and these symptoms were exacerbated, nausea and vomiting were added to these complaints on the day of admission. Physical examination revealed that abdominal guarding and tenderness, mainly located in the epigastric region. The patient had a history of previous total knee replacement surgery and ischemic stroke but had no history of trauma or abdominal surgery.

References

  • Light D, Links D, Griffin M. The threatened stomach: management of the acute gastric volvulus. Surg Endosc. 2016; 30 (5): 1847-1852.
  • Wu MH, Chang YC, Wu CH, Kang SC, Kuan JT. Acute gastric volvulus: a rare but real surgical emergency. Am J Emerg Med 2010; 28 (1): 118.e5-7.
  • Verde F, Hawasli H, Johnson PT, Fishman EK. Gastric volvulus: unraveling the diagnosis with MPRs. Emerg Radiol. 2019; 26 (2): 221-225.

Mezenteroaksiyal gastrik volvulus: BT bulguları

Year 2020, Volume: 59 Issue: 2, 147 - 148, 30.06.2020
https://doi.org/10.19161/etd.756216

Abstract

Gastrik volvulus, üst gastrointestinal sistemin kapalı-loop (döngü) obstrüksiyonu olup erken tanı ve tedavi büyük öneme sahiptir. Tedavide gecikilmesi durumunda mide duvarlarında iskemi, nekroz ve perforasyona yol açabilen ve hayati öneme sahip klinik bir durumdur. Mide volvulusunun dönme eksenine bağlı olarak organoaksiyel ve mezenteroaksiyel formları mevcuttur. Mezenteroaksiyel volvulusta, küçük ila büyük kurvaturu bağlayan kısa eksen boyunca mide rotasyonu gözlenir ve antrum ve pilor gastroözofageal bileşkenin üzerinde yer değiştirir. Spesifik olmayan semptomlar nedeniyle bilgisayarlı tomografi (BT) tanıda kritik bir role sahiptir.

References

  • Light D, Links D, Griffin M. The threatened stomach: management of the acute gastric volvulus. Surg Endosc. 2016; 30 (5): 1847-1852.
  • Wu MH, Chang YC, Wu CH, Kang SC, Kuan JT. Acute gastric volvulus: a rare but real surgical emergency. Am J Emerg Med 2010; 28 (1): 118.e5-7.
  • Verde F, Hawasli H, Johnson PT, Fishman EK. Gastric volvulus: unraveling the diagnosis with MPRs. Emerg Radiol. 2019; 26 (2): 221-225.
There are 3 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Reports
Authors

Kadir Han Alver 0000-0002-4692-2401

Ergin Sağtaş 0000-0001-6723-6593

Muhammed Raşid Aykota 0000-0003-1862-6186

Sevda Yılmaz 0000-0002-1309-0805

Furkan Ufuk 0000-0002-8614-5387

Publication Date June 30, 2020
Submission Date February 25, 2020
Published in Issue Year 2020Volume: 59 Issue: 2

Cite

Vancouver Alver KH, Sağtaş E, Aykota MR, Yılmaz S, Ufuk F. Mesenteroaxial gastric volvulus: CT findings. EJM. 2020;59(2):147-8.