胃穿孔を合併した幼児急性胃軸捻転症の1例

概要

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A two-year eight-month-old girl was admitted due to vomiting and abdominal distension. Supine radiography of the abdomen revealed a stomach markedly distended with air. We suspected acute gastric volvulus and performed conservative therapy. On the next day an upper gastrointestinal series with a nasogastric tube confirmed the presence of mesenteroaxial gastric volvulus and demonstrated no gastrographin passing through the Pyloric outlet. Because the patinet's condition not relieved An Operation was performed. We recognized gastric perforation of the major flexureand mesenteroaxial gastric volvulus, furthermore the ligature between a stomach and a transverse colon. We thought that the ligature was cause of acute gastric volvulus. Gastropexy and suture of perforation was performed. We discussed the cause and treatment of acute gastric volvulus with gastric perforation in childhood.
日本小児外科学会の論文
1991-12-20