tailieunhanh - Báo cáo y học: "Delayed diagnosis of intermittent mesenteroaxial volvulus of the stomach by computed tomography: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Delayed diagnosis of intermittent mesenteroaxial volvulus of the stomach by computed tomography: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Delayed diagnosis of intermittent mesenteroaxial volvulus of the stomach by computed tomography a case report Colin Yi-Loong Woon 1 Alexander Yaw-Fui Chung1 Albert Su-Chong Low2 and Wai-Keong Wong1 Address Department of General Surgery Singapore General Hospital 169608 Singapore and 2Department of Diagnostic Radiology Singapore General Hospital 169608 Singapore Email Colin Yi-Loong Woon -wolv23@ Alexander Yaw-Fui Chung - Albert Su- Chong Low - gdrlsc@ Wai-Keong Wong - gsuwwk@ Corresponding author Published II November 2008 Received 25 December 2007 A- n inno IaA-r 1 - A- Accepted 11 November 2008 Journal of Medical Case Reports 2008 2 343 doi 1752-1947-2-343 This article is available from http content 2 1 343 2008 Woon et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Gastric volvulus is a rare condition. Presenting acutely mesenteroaxial gastric volvulus has characteristic symptoms and may be easily detected with upper gastrointestinal contrast studies. In contrast subacute intermittent cases present with intermittent vague symptoms from episodic twisting and untwisting. Imaging in these cases is only useful if performed in the symptomatic interval. Case presentation We describe a patient with a long history of intermittent chest and epigastric pain. An earlier barium meal was not diagnostic. Diagnosis was finally secured during the current admission by a combination of 1 serum investigations 2 endoscopy and finally 3 computed tomography. Conclusion Non-specific and misleading symptoms and signs may delay the diagnosis