위내시경 시술 도중에 유발되어 진단된 장간막축형 급성 위염전 1예 = A Case of Mesenteroaxial Gastric Volvulus Diagnosed Using Endoscopic Procedure

다국어 초록 (Multilingual Abstract)

Gastric volvulus is characterized by an abnormal rotation of the stomach typically 180o left to right around a line joining the relatively fixed pylorus and the esophagus. Gastric volvulus can be classified anatomically as organoaxial, mesenteroaxial or combined, and symptomatically as acute or chronic. Acute gastric volvulus is an extremely rare emergency surgical condition. The classical triad of gastric volvulus are severe nausea with a paradoxical inability to vomit, localized epigastric pain and an inability to pass a nasogastric tube. Gastric volvulus may be suspected on a plain radiological examination of the abdomen as well as by its symptoms. It is confirmed by the specific findings on the esophagogastroduodenoscopy. We report a case of acute mesenteroaxial gastric volvulus, that was treated using laparoscopic reduction and anterior gastropexy. (Korean J Gastrointest Endosc 2006;33:46-49)

국문 초록 (Abstract)

위염전(gastric volvulus)은 위의 전체 또는 일부가 비정상적으로 180o 이상 회전하여 장 폐쇄를 일으키는 질환이다. 위염전은 위의 폐색과 팽만, 좌측 횡격막의 상승, 급속한 복압증가 시 잘 발생한다. 급성 위염전은 급성복통을 호소하며, 감돈 및 허혈로 인한 위의 파혈, 출혈 및 쇼크 등을 일으킬 수 있어 빠른 진단 및 응급수술이 필요하다. 저자들은 복통과 구토를 주소로 내원한 83세 남자 환자에서 위내시경 시술 도중에 유발되어 진단된 장간막축성 급성 위염전을 진단하고 치료하였기에 문헌고찰과 함께 보고하는 바이다.

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