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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Chronic gastric volvulus and hypertrophic pyloric stenosis in an infant.
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Chronic gastric volvulus and hypertrophic pyloric stenosis in an infant.

机译：婴儿的慢性胃扭转和肥大性幽门狭窄。

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摘要

Chronic secondary mesenteroaxial gastric volvulus associated with hypertrophic pyloric stenosis has rarely been mentioned in the general medical literature. We report the case of a 2-month-old boy whose clinical symptoms, which included distension of the stomach and projectile vomiting, suggested the diagnosis of hypertrophic pyloric stenosis but who was later diagnosed with chronic secondary mesenteroaxial gastric volvulus. Sonographic examination revealed findings consistent with a rotated stomach, and subsequent plain chest radiography demonstrated a left diaphragmatic eventration. An upper gastrointestinal series radiographic examination with barium contrast enhancement confirmed the diagnosis of mesenteroaxial gastric volvulus. Surgery was performed, and the boy recovered well. A follow-up sonographic examination performed 3 months post-operatively revealed no abnormalities. This case demonstrates that primary or secondary gastric volvulus, although rare in children, should be considered in the differential diagnosis of pediatric patients with a history of vomiting.
机译：在一般医学文献中很少提及与肥厚性幽门狭窄相关的慢性继发性中肠胃扭转。我们报告了一个2个月大男孩的病例，该男孩的临床症状包括胃胀大和弹丸呕吐，提示诊断为肥厚性幽门狭窄，但后来被诊断为慢性继发性肠系膜中肠胃扭转。超声检查发现与胃旋转相关的发现，随后的胸部平片显示左diaphragm肌a行。钡剂造影增强的上消化道系列影像学检查证实了中轴胃扭转。进行了手术，男孩康复了。术后3个月进行的随访超声检查未发现异常。该病例表明，在儿童中有呕吐史的鉴别诊断中应考虑原发性或继发性胃扭转，尽管在儿童中很少见。

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