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.
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.
Primary Language | English |
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Subjects | Health Care Administration |
Journal Section | Case Reports |
Authors | |
Publication Date | June 30, 2020 |
Submission Date | February 25, 2020 |
Published in Issue | Year 2020Volume: 59 Issue: 2 |