gastric duplication
Introduction
Introduction Gastric duplication is a form of repeated malformation of the gastrointestinal tract.
Cause
Cause
What is the cause of gastric repeat deformity?
Etiology: Repeated malformations of the gastrointestinal tract are caused by cavitation in the solid phase of the central intestine, or related to the occurrence of traffic defects in the early embryonic neural tube, so there may be spinal cord longitudinal fissures and scoliosis. Klip-pel Feil syndrome and the like. Can occur from the tongue to any anatomical part of the anal canal, but more common in the ileocecal area.
Examine
an examination
How should the gastric repeat deformity be diagnosed?
Diagnosis: Stomach repeat deformity, the upper abdomen has a feeling of fullness, vomiting does not contain bile, and the cystic mass can be found under the cost of the right upper abdomen.
Diagnosis
Differential diagnosis
What are the symptoms of gastric repeat deformity easily confused?
Acute gastric dilatation: refers to a syndrome caused by a large amount of gas and fluid accumulation in the short term, and a high degree of expansion of the upper part of the stomach and duodenum. It is usually a serious complication of certain internal surgical diseases or anesthesia operations. According to the history and physical signs, combined with laboratory tests and abdominal X-ray signs, the diagnosis is generally not difficult. Gastric dilatation that occurs after surgery is often misdiagnosed due to atypical symptoms and confusion with general postoperative gastrointestinal symptoms. In addition, it should be differentiated from intestinal obstruction and intestinal paralysis. Intestinal obstruction and intestinal paralysis mainly involve the small intestine. The abdominal distension is obvious in the middle of the abdomen. There is no large amount of fluid and gas in the stomach. The patient will not have much benefit after evacuating the stomach contents. The X-ray film can be seen in a plurality of stepped liquid levels. Most of the onset is slow, and vagus nerve cuts often begin to enter the fluid diet after the second week after surgery. The main symptoms are bloating, upper abdominal or umbilical pain, nausea and persistent vomiting. The vomit is a turbid brown-green or brown liquid, and the symptoms are not alleviated after vomiting. As the condition worsens, the general condition deteriorates progressively. In severe cases, dehydration and alkalosis may occur, and irritability, shortness of breath, hand and foot convulsions, blood pressure drop, and shock may occur. The prominent signs are the expansion of the upper abdomen, which shows that there is no wriggling stomach contour, local tenderness, excessive percussion, and vibration. There is a localized mass on the right side of the umbilicus. The appearance is bulging, the touch is smooth and elastic, and the tenderness is light. The lower right border is clearer. This is the extremely dilated gastric antrum. It is called Giant sinus disease and is an acute stomach. The unique vital signs of expansion can be used as a strong evidence for clinical diagnosis. The disease can cause acute gastric perforation and acute peritonitis due to necrosis of the stomach wall.
Giant gastric sinus disease: There is a localized mass on the right side of the umbilicus. The appearance is bulging, the touch is smooth and elastic, and the tenderness is light. The lower right border is clearer. This is the extremely dilated gastric antrum, which is called Giant sinus disease. It is an important sign of acute gastric dilatation and can be used as a strong evidence for clinical diagnosis.
Gastric sinus stenosis: The sinus is a good site for gastric lesions. Gastric sinus stenosis refers to the reduction of the gastric cavity caused by various benign and malignant lesions, and the morphological changes of deformation. Often functional, organic or coexisting.
Diagnosis: Stomach repeat deformity, the upper abdomen has a feeling of fullness, vomiting does not contain bile, and the cystic mass can be found under the cost of the right upper abdomen.
