Difficulties in diagnosing an intermittent mesenteroaxial gastric volvulus
| Autor: | Andrew S. Pan, Matthew D'Alessio, Victor A. Jaffe, David Kang |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Gastric volvulus integumentary system medicine.diagnostic_test business.industry Esophagogastroduodenoscopy medicine.medical_treatment Case Reports medicine.disease Epigastric pain digestive system diseases Surgery Volvulus Gastropexy parasitic diseases medicine Episodic abdominal pain Retching medicine.symptom skin and connective tissue diseases business |
| Zdroj: | Journal of Surgical Case Reports |
| ISSN: | 2042-8812 |
| Popis: | Mesenteroaxial volvulus is a form of gastric volvulus that rotates around the short axis of the stomach. Mesenteroaxial volvulus typically presents secondary to an anatomical defect with symptoms that include epigastric pain, retching, dysphagia and early satiety. Our patient presented with episodic abdominal pain, nausea and vomiting for 2 years. Previous imaging was unremarkable but an esophagogastroduodenoscopy done when the patient most recently presented with abdominal pain revealed a mesenteroaxial volvulus. He underwent a laparoscopic gastrostomy-tube gastropexy and has not had any recurrence of his symptoms to date. This case illustrates the difficulties in diagnosing an intermittent volvulus as untimely imaging of a temporarily unfolded volvulus can delay diagnosis and treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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