A CASE of UPSIDE-DOWN STOMACH ACCOMPANIED by ACUTE NECROTIZING ESOPHAGITIS

Takahiro Kai, Kazuoki Hizawa, Yutaro Ihara, Kouhei Fujita, Masahiro Iida, Ema Washio, Motohiro Esaki, Mitsuo Iida

研究成果: Contribution to journalReview article査読

抄録

An 83-year-old woman was taken to our hospital by ambulance because of hematemesis. Laboratory examination revealed high blood levels of lactate (35mg/dL), creatinine (2.1mg/dL) and glucose (249mg/dL). Thoracoabdominal CT scans showed a large esophageal hernia, presenting with upside-down stomach and mesenteroaxial volvulus. Urgent endoscopy revealed diffuse black mucosa in the middle and lower esophagus, so-called black esophagus. The abnormal rotation returned to normal by performing the stretching method with a duodenoscope. On the following day, the esophageal lesion was remarkably improved. When encountering a case of upside-down stomach with acute necrotizing esophagitis, endoscopic de-rotation should be immediately considered.

本文言語英語
ページ(範囲)1482-1486
ページ数5
ジャーナルGASTROENTEROLOGICAL ENDOSCOPY
59
7
出版ステータス出版済み - 7 2017

All Science Journal Classification (ASJC) codes

  • 放射線学、核医学およびイメージング
  • 消化器病学

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