儿科患者的急性胃卷发:一个罕见的病例报告
Rehab N Khalid1, Amin Moazzam Khan2, Ravikumar Hanumaiah2
1Neuroradiology Division, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St, Boston, MA 02114, USA.
Radiology case reports
|October 1, 2025
概括
急性胃卷风是一种罕见的儿科紧急情况,如果不及时诊断和管理,可能会致命. 早期成像,如CT扫描,对于诊断和干预至关重要,可能与CHAMP1突变有关.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 手术紧急情况 手术紧急情况
- 罕见疾病 罕见疾病
背景情况:
- 急性胃卷发是一种罕见的,危及儿童生命的疾病,涉及胃旋转.
- 它可以引起严重的并发症,包括缺血,穿孔和脏干扰.
- 及时诊断和管理对于有利的结果至关重要.
研究的目的:
- 报告一名儿科患者罕见的急性胃卷发病例.
- 要强调成像,特别是CT的诊断作用.
- 为了探索CHAMP1突变和胃卷积之间的潜在关联.
主要方法:
- 一个2岁男孩的病例报告,患有血和食不耐受.
- 诊断成像包括腹部放射和对比度增强CT.
- 治疗包括鼻胃减压,腹腔切除,胃扭曲和胃口管放置.
主要成果:
- CT证实了带有脏位移的中枢-轴心卷发.
- 患者成功地接受了手术和胃口管安置.
- 这一案例表明,CHAMP1相关的低血压和胃卷发之间可能存在联系.
结论:
- 早期和准确的诊断儿科胃卷发是必不可少的,CT是关键的成像方式.
- 这一案例强调了在罕见的儿科手术紧急情况中及时干预的重要性.
- 在CHAMP1突变和胃卷发之间存在潜在的关联,需要进一步调查.
相关概念视频
Esophageal Strictures-II: Clinical Features and Management
432
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
432
Esophageal Perforation-II: Clinical Manifestations and Management
505
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
505
Peptic Ulcer Disease V: Surgical Management and Nursing Care
823
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
823
Esophageal Varices-II: Clinical Features and Management
374
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
374
Esophageal Strictures-I: Introduction
647
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
647
Esophageal Varices-I: Introduction
1.2K
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
1.2K

