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    Prof. of Hepatology & Gastroenterology, Cairo University.

    Consultant of Hepatology,Gastroenterology and Endoscopy

    Management Positions: •

    Chief of Hepatology unit El Manial University Hospital (1994-1998).

    • Chief of Gastroentero ICU in Cairo university hospital (1997-2000)

    • President of the board of AlfaScope GI Specialized center (2004-2014).

    • Head of Endoscopy Unit in Cairo University Hospitals (2005-2010).       

     

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    استاذ الكبد و الجهاز الهضمى بكلية الطب جامعة القاهرة

    استشارى الكبد و الجهاز الهضمى و المناظير

    دكتوراه امراض الكبد و الجهاز الهضمى من كلية الطب جامعة القاهرة

    الرئيس السابق لقسم الامراض الباطنية بكلية الطب جامعة ٦ اكتوبر

    الرئيس السابق لوحدة مناظير الجهاز الهضمى و مركز الكبد و الرعاية المركزة بقصر العينى

     

    إقرأ المزيد

     

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Wednesday, Jun 19th

Last update01:52:33 AM

        

volvulus of the stomach

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55 years old female came to my clinic complaining of a 12 years history of attacks of severe upper abdominal pain associated with repeated vomiting. The attacks in many times were severe leading to admission to a hospital and IV analgesia and fluids. The attack lasts few hours to few days, not related to meals, psychic stress or other precipitating factors. The attack relieves spontaneously, and no special procedure or medications relieve it. The attacks are not asociated with fever or diarrhea, but some times associated with constipation, and sometimes there is abdominal distention. The patient has FMF, but she confidently says that these attacks are different from the attacks of FMF. Inbetween the attacks the patient was complaining of symptoms suggestive of IBS and functional dyspepsia. A differential diagnosis was put. including calcular cholecystitis, attacks of acute pancreatitis, ovarian torsion or hemorrhage, and based on severe abdominal pain, repeated vomiting, associated with constipation and abdominal distension, the possibility of attacks of intestinal obstruction or gastric outlet obstruction was put. The possibility of PUD and funcional dyspepsia were also put as possibilities. The following investigations were done:

CBC, ESR, CRP: normal.

ALT, AST, Bilirubin, Alkaline phosphatase: normal.

Serum amylase and lipase: normal.

Lipids profile: normal.

FBS, PPS, HbA1c: normal.

eGFR and K: normal.

Plain X-ray abdomen in erect position: normal

Abdominal and pelvic ultrasonography: repeatedly normal.

Upper endoscopy repeatedly: either normal or show mild distal esophageal erosions (LA:A).

CT abdomen and pelvis with contrast: normal.

 

One day the patient got severe abdominal pain, repeated vomiting, and abdominal distension, and was admitted to the hospital where a plain abdomen in erect position revealed marked distension of the stomach. Several attempts to pass a gastric tube through the esophagus have failed. The surgeons decided to do an immediate exploration, and they found that the case was diagnosed as volvulus of the stomach. The position of the stomach was corrected and the stomach was fixed. Volvulus of the stomach is a rare cause of gastric outlet obstruction. 

Last Updated on Friday, 02 November 2018 08:52

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  • عنوان: 98 شارع التحرير , ميدان الدقي, القاهرة , مصر
     
  • هاتف: (+202) 376 1111 8

حقوق الملكية

 المعلومات الواردة في مختلف صفحات موقع د.سامح لبيب على الإنترنت هي معلومات صادرة عنه لأغراض تعليمية-خدميه. وتلك المعلومات محمية بموجب قوانين  حماية المصنفات الأدبية والفنية واتفاقيات دولية أخرى وبمقتضى القوانين الوطنية الخاصة بحقوق التأليف والحقوق المرتبطة بها. ويجوز استعراض أجزاء من المعلومات الواردة في الموقع أو نسخها أو ترجمتها لأغراض البحث أو لإجراء دراسة شخصية ولكن ليس لبيعها أو استخدامها لأغراض تجارية.

©  د.سامح لبيب ـ2012-2107

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