“a large hiatal hernia”: atypical presentation of gastric volvulus

"فتق حجابي كبير": تظاهر غير نمطي لانفتال المعدة

Clicks: 148
ID: 192148
2017
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Ranked #12 of 14 articles by views in proceedings - 1st international conference on intelligent systems and information management, icisim 2017

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Abstract
Gastric volvulus is a rare condition defined as an abnormal rotation of the stomach by more than 180 degrees. Gastric volvulus could present atypically with simply nausea and vomiting. A high index of suspicion is required for prompt diagnosis and treatment, especially when a patient presents with subacute intermittent gastric volvulus. Here, we present the case of a 56-year-old female with lung cancer status post left lower lobectomy undergoing chemotherapy who presented with intermittent nausea and upper abdominal pain for a few weeks. Barium study and computed tomography revealed acute mesenteroaxial gastric volvulus and she was treated with urgent surgical intervention.
يُعد انفتال المعدة حالة نادرة تُعرَّف بأنها دوران غير طبيعي للمعدة بأكثر من 180 درجة. وقد يتظاهر انفتال المعدة بصورة غير نمطية تقتصر على الغثيان والقيء فحسب. ويتطلب الأمر درجة عالية من الاشتباه السريري للتشخيص والعلاج الفوريين، لا سيما عندما يتظاهر المريض بانفتال معدة متقطع تحت حاد. نعرض هنا حالة سيدة تبلغ من العمر 56 عامًا مصابة بسرطان الرئة، خضعت سابقًا لاستئصال الفص السفلي الأيسر وتتلقى العلاج الكيميائي، حيث راجعت بشكوى من غثيان متقطع وألم في الجزء العلوي من البطن استمر لبضعة أسابيع. وأظهرت دراسة الباريوم والتصوير المقطعي المحوسب وجود انفتال معدة مساريقي محوري حاد، وعولجت الحالة بتدخل جراحي عاجل.
Reference Key
kiyani2017clinicala Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Amirali Kiyani, Manraj Khosla, Veronika Anufreichik, Keng-Yu Chuang
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Journal proceedings - 1st international conference on intelligent systems and information management, icisim 2017
Year 2017
DOI
10.5811/cpcem.2017.2.31075
URL
https://escholarship.org/uc/item/8148t1k5
Keywords
critical care first aid intensive care medical emergencies

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