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首页> 外文期刊>International Journal of Surgery Case Reports >Recurrent gastric volvulus associated with a gastrointestinal stromal tumor: A case report
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Recurrent gastric volvulus associated with a gastrointestinal stromal tumor: A case report

机译：复发性胃扭转与胃肠道间质瘤相关：一例报告

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Introduction Gastric volvulus (GV) is defined as a rotation of the stomach along its short or long axis leading to variable degrees of gastric outlet obstruction. Rotation of the stomach 180° may cause closed loop obstruction and possible strangulation, which often causes acute abdominal pain. Strangulation and gangrene of the twisted stomach sometimes occurs, which demands immediate surgical intervention. We report a case of acute gastric volvulus due to a gastrointestinal stromal tumor (GIST), with multiple recurrences, that eventually required emergency gastrectomy. Presentation of the case A 71-year-old woman with a history of recurrent epigastric pain, nausea, and anorexia was diagnosed to have a 70-mm sized submucosal tumor (SMT) in the lesser curvature of the stomach. An elective gastrectomy was planned; however, before the procedure, she visited the emergency room with acute recurrent epigastric pain associated with postural variations. Computed tomography (CT) revealed a GV and the tumor had shifted to the greater curvature. An emergency gastrectomy was performed. The postoperative course was uneventful and pathological examination revealed features consistent with that of GIST. Discussion GV with GIST has rarely been reported and risk factors such as size or localization are unknown. In this case, GV was probably caused by GIST of the stomach, which was large and heavy enough to rotate the gastric body around the mesenteroaxis. Conclusion Surgical intervention without delay should be planned in similar scenarios accounting for the risk of GV in GIST.
机译：引言胃扭转（GV）定义为胃沿其短轴或长轴的旋转，导致胃出口阻塞程度不一。胃部旋转> 180°可能会导致闭环阻塞和可能的绞窄，这通常会导致急性腹痛。有时会发生绞扭胃绞窄和坏疽，这需要立即进行手术干预。我们报告了一例由于胃肠道间质瘤（GIST）而导致的急性胃扭转，并多次复发，最终需要紧急胃切除术。病例介绍一位71岁的女性，有反复出现的上腹痛，恶心和厌食的病史，被诊断出在胃小弯处有一个70毫米大小的粘膜下肿瘤（SMT）。计划进行选择性胃切除术;然而，在手术前，她因急速复发的上腹痛与体位变化有关而前往急诊室。计算机断层扫描（CT）显示GV，肿瘤移至更大的曲率。进行了紧急胃切除术。术后过程平稳，病理检查发现与GIST相一致。与GIST讨论GV的报道很少，并且危险因素（例如大小或位置）未知。在这种情况下，GV可能是由胃的GIST引起的，胃的GIST又大又重，足以使胃体绕肠系膜轴旋转。结论在类似情况下，应计划进行外科手术干预，以解决GIST中GV的风险。

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