Posterior Gastric Perforation with an Opening in Transverse Mesocolon: A Rare Case Report

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Anand Singla, Sandeep Singh, Gagandeep Kaur, Deepak Jindal, Navjot Singh, Sakini Langstang
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引用次数: 0

Abstract

Posterior gastric perforation is a very rare finding, difficult to diagnose due to the insidious onset of upper abdominal symptoms, and no air under the diaphragm on X-ray. Posterior gastric perforation which opens into transverse mesocolon is even rarer. This is a case report done to entail such a rare case, with only two cases reported in the past. We present the case of a 21-year-old female with pain in the epigastric region spreading to involve the whole abdomen, fever, vomiting, and anorexia. In our case, radiological findings revealed pneumoperitoneum. Intraoperatively, a tract was identified between the posterior wall of the stomach and transverse mesocolon. Tract was excised and primary repair was done using the Graham patch method.
胃后穿孔伴横结肠系膜开口1例罕见报告
胃后穿孔是一种非常罕见的发现,由于上腹部症状潜伏发作,x光片上膈下无空气,因此难以诊断。胃后部穿孔进入横向结肠系膜则更为罕见。这是一个罕见病例的病例报告,过去只报告了两个病例。我们报告一位21岁的女性,腹部疼痛扩散至整个腹部,伴有发烧、呕吐和厌食症。本病例影像学表现为气腹。术中发现胃后壁与横结肠系膜之间有一束。切除小束,采用Graham补片法进行初步修复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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