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 |
| 巻 | 59 |
| 号 | 7 |
| 出版ステータス | 出版済み - 7月 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
フィンガープリント
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