胃下垂：胃疝气的一种罕见且可能致命的并发症。

IF 1 4区医学 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the Belgian Society of Radiology Pub Date : 2024-02-28 eCollection Date: 2024-01-01 DOI:10.5334/jbsr.3448

Sam Verrept, Mathieu Lefere, Yves De Bruecker

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引用次数: 0

摘要

胃大疝很常见，通常引起的症状较轻。极少数情况下，完全的胸腔内胃疝会并发绞窄。其根本原因可能是胃内翻，也可能是较少见的胃底返流现象。我们描述了一例出现这种罕见但可能致命的胃疝气并发症的病例。此外，我们还展示了在这种情况下，可通过普通胸片初步观察到与缺血有关的胃积气。教学要点：胃底再出血是胸腔内胃绞窄的可能原因，但尚未被认识到。

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Redescending Stomach: A Rare and Potentially Lethal Complication of Gastric Herniation.

Large gastric hernias are common and usually cause minor symptoms. Rarely, complete intrathoracic herniation of the stomach is complicated by strangulation. The underlying mechanism can be gastric volvulus or the less recognized phenomenon of gastric fundus redescent. We describe a case where this rare but potentially lethal complication of gastric herniation is present. Additionally, we show that gastric pneumatosis, a sign associated with ischemia, can be initially visualized on a plain chest radiograph in this setting. Teaching point: Redescent of the fundus is a possible, but unrecognized cause of gastric strangulation in intrathoracic stomachs.

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来源期刊

Journal of the Belgian Society of Radiology Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

0.70

自引率

5.00%

发文量

期刊介绍： The purpose of the Journal of the Belgian Society of Radiology is the publication of articles dealing with diagnostic and interventional radiology, related imaging techniques, allied sciences, and continuing education.