A CASE OF MESENTEROAXIAL GASTRIC VOLVULUS IN AN ADULT

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  • 成人の横隔膜弛緩症に伴う胃軸捻症の1例

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A 34-year-old woman was admitted to the hospital because of epigastralgia, vomiting and abdominal full-The elevation of diaphragma has been pointed out since childhood. She had experienced admission because of same complaints in 1992, when symptomatic remission had been attained by nasogastric suction. But she often suffered from stomachache. In November 1997, severe epigastralgia, vomiting and abdominal fullness were revealed after much eating. Plain chest X-ray and UGI study showed remarkably dilated stomach, displacement of the esophago-gastric junction to caudal-ventral side and upside-down stomach. Mesenteroaxial gastric volvulus was diagnosed. By nasogastric suction she became asymptomatic. She underwent percutaneous endoscopic gastrostomy fixation of her gastric volvulus. There have been no sign of recurrent gastric volvulus and she has been asymptomatic.

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