Mide Volvulusu
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Dosyalar
Tarih
2008
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi Tıp Fakültesi Dergisi
Erişim Hakkı
Attribution-NoDerivs 3.0 United States
Attribution 3.0 United States
Attribution 3.0 United States
Özet
Tanısal değeri yüksek tek bir laboratuar veya radyolojik tetkik olmadığı için mide volvulusu tanısı koymak zordur. Son beş yıldır aralıklı şikayetleri olan 65 yaşındaki bayan hasta, son bir ayda hemen her yemekten sonra artan karın ağrısı, bulantı, kusma ve kilo kaybı şikayetleri ile başvurdu. Akciğer grafisinde mediastende gaz gölgesi vardı. Özefagus-mide-duodenum grafisinde, midede rotasyon anomalisi vardı ve mide fundusu diafragma üzerinde görülüyordu. Olgu cerrahi yöntemle tedavi edildi. Laparatomi ile gastrik detorsiyon, gastropeksi, ve diafragmatik herni onarımı yapıldı. Sonuç olarak dispeptik şikayetleri olan ve akciğer grafisinde mediastende alışılmadık gaz gölgesi görülen hastalar da mide volvulusu tanısı akla getirilerek, özefagus- mide- duodenum grafisi çektirilmelidir.
Diagnosing a gastric volvulus is difficult, since there is no one laboratory or radiological technique sensitive enough to exclude the diagnosis. Sixty-five years old woman was admitted to our clinic due to dyspeptic symptoms for five years. She had nausea, vomiting and abdominal pain after meals and loss of weight. There was a bubble of gas on the chest X-ray. Gastric fundus was determined above the diaphragm on the barium swallow and gastric rotational anomaly was diagnosed. The patient was treated by surgery. Gastric detortion, gastropexy and diaphragmatic hernia repaired with laparatomy. In conclusion, if there are dyspeptic symptoms combined with unexpected bubble gase on the chest X-ray, we should remember gastric volvulus and get a barium swallow.
Diagnosing a gastric volvulus is difficult, since there is no one laboratory or radiological technique sensitive enough to exclude the diagnosis. Sixty-five years old woman was admitted to our clinic due to dyspeptic symptoms for five years. She had nausea, vomiting and abdominal pain after meals and loss of weight. There was a bubble of gas on the chest X-ray. Gastric fundus was determined above the diaphragm on the barium swallow and gastric rotational anomaly was diagnosed. The patient was treated by surgery. Gastric detortion, gastropexy and diaphragmatic hernia repaired with laparatomy. In conclusion, if there are dyspeptic symptoms combined with unexpected bubble gase on the chest X-ray, we should remember gastric volvulus and get a barium swallow.
Açıklama
İnönü Üniversitesi Tıp Fakültesi Dergisi 15 (3) 215-218 (2008)
Anahtar Kelimeler
Mide volvulusu, Diafragma hernisi, Radyoloji, Gastric volvulus, Diaphragmatic hernia, Radiology
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Pişkin, Turgut ;Aydın, Cemalettin ;Kayaalp, Cüneyt ;Tatlı, Faik ;Ölmez, Aydemir ;Kutlu, Ramazan ;İnönü Üniversitesi Tıp Fakültesi Dergisi 15 (3) 215-218 (2008)
