Acute Gastric Volvulus in the Setting of a Paraesophageal Hernia With Hemoperitoneum: Emergency Department Diagnosis and Management

被引：1

作者：

Huang, Derrick ^{[1
]}

Hughes, Michael ^{[1
]}

Elbadri, Samyr ^{[1
]}

Falgiani, Michael ^{[1
]}

Ganti, Latha ^{[1
,2
,3
,4
]}

机构：

[1] Ocala Reg Med Ctr, Emergency Med, Ocala, FL 34471 USA

[2] Envis Physician Serv, Emergency Med, Plantation, FL 33309 USA

[3] Univ Cent Florida, Coll Med, Emergency Med, Orlando, FL 32816 USA

[4] HCA Healthcare Grad Med Educ, Emergency Med, Olrando, FL 32806 USA

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2021年 / 13卷 / 12期

关键词：

abdominal pain; hemoperitoneum; paraesophageal hernia; emergency medicine; gastric volvulus;

D O I：

10.7759/cureus.20404

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Acute gastric volvulus is an uncommon emergency department (ED) presentation associated with high mortality from gastric ischemia and perforation. The diagnosis of this pathology is complicated by its intermittent symptoms and similarity in presentation to more common disorders encountered in the ED. Assessing for key risk factors, such as the presence of a hiatal hernia, and the use of expeditious imaging modalities, such as bedside radiography and point-of-care ultrasonography, are essential in rapid diagnosis and time-sensitive, definitive surgical intervention.

引用

页数：7

共 13 条

[11] Volume, distribution and acidity of gastric secretion on and off proton pump inhibitor treatment: a randomized double-blind controlled study in patients with gastro-esophageal reflux disease (GERD) and healthy subjects
Steingoetter, Andreas
Sauter, Matthias
Curcic, Jelena
Liu, Dian
Menne, Dieter
Fried, Michael
Fox, Mark
Schwizer, Werner
[J]. BMC GASTROENTEROLOGY, 2015, 15
[12] WASSELLE JA, 1993, AM J GASTROENTEROL, V88, P1780
[13] 'Idiopathic' chronic gastric volvulus
Willsher, PC
White, RC
Dumbrell, P
[J]. AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 1996, 66 (09): : 647 - 649

← 1 2 →