Acute gastric volvulus and congenital diaphragmatic hernia, case report and review

Pérez-Egido, Laura; Parente, Alberto; Cerdá, J

doi:10.4103/0189-6725.170230

Cited by 10 publications

(22 citation statements)

References 15 publications

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“…However, some patients with a CDH also present themselves with acute gastrointestinal problems and chronic dietary problems. 1,2 CDH has previously been associated with other congenital malformations. The best known is the occurrence of intestinal malrotation, which is relatively common in these neonates due to abnormal rotation of the embryological midgut.…”

Section: Introductionmentioning

confidence: 99%

Malrotation in Congenital Diaphragmatic Hernia: Is It Really a Problem?

et al. 2019

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Introduction Congenital diaphragmatic hernia (CDH) has been associated with other congenital malformations, such as intestinal rotation abnormalities. However, there is no standard evaluation and treatment of intestinal rotation during initial CDH repair. This study evaluates intestinal malrotation in CDH patients. Materials and Methods All patients with a CDH treated in a high-volume center between 2000 and 2015 were retrospectively evaluated. Demographics, gastrointestinal characteristics, surgical treatment, and abdominal outcomes (acute surgery, small bowel obstruction, and volvulus) were described. Results A total of 197 CDH patients were surgically repaired. In 76 (39%) patients, a malrotation was described at initial CDH repair, in 39 (20%) patients, a normal rotation, but 82 patients (42%) had no report on intestinal rotation. During follow-up (range: 2–16 years), 12 additional malrotations were diagnosed, leading to a prevalence of at least 45% (n = 88). These were mostly diagnosed due to acute small bowel obstruction, of which three had a volvulus. Of the 12 later diagnosed malrotations, 58% required acute surgery, compared to 3% of the 76 initially diagnosed patients (p < 0.001). Conclusion Malrotation is associated with CDH, with a prevalence of at least 45% and in 21% a normal intestinal rotation. “Missed” malrotations have a higher risk on need for acute surgery later in life.

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Section: Introductionmentioning

confidence: 99%

Malrotation in Congenital Diaphragmatic Hernia: Is It Really a Problem?

et al. 2019

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“…Despite being most common in reproductive age women as a result of “acquired” ligamentous laxity, wandering spleen is also described in pediatric age with a peak of incidence in male under the first year [ 3 , 7 ]. In this group a “congenital” cause has been proposed, secondary to a failure in the development of splenic ligaments, from the dorsal mesentery, that anchor it to the stomach, diaphragm, colon, and retroperitoneum; as a result, the spleen is sustained only by its vascular pedicle with an increased risk of torsion [ 1 , 4 – 6 ]. The association with other congenital malformations as prune-belly syndrome, renal agenesis, congenital diaphragmatic hernia and eventration, and gastric volvulus has been previously described [ 4 , 5 , 12 ]; furthermore, a familiar form has been proposed [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…Anterior gastropexy with or without phrenofundopexy and/or esophagocardiopexy, fundoplication, and gastrostomy are the surgical options proposed; in case of sever gastric ischemia and necrosis, a gastric resection should be necessary. Laparoscopic and laparotomic techniques are both described [ 2 , 6 , 19 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…The lack of development or incomplete formation of intraperitoneal suspensory ligaments, congenital or secondary to diaphragmatic defect, is a recognized common cause of these conditions [ 3 – 5 ]. The excessive mobility and abnormal position of both stomach and spleen predispose to torsion of these organs that may result in ischemia and necrosis [ 6 – 8 ]. We present a case of a 13-year-old girl previously operated on for right anterior diaphragmatic hernia with gastric volvulus at age 5.…”

Section: Introductionmentioning

confidence: 99%

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Wandering Spleen and Organoaxial Gastric Volvulus after Morgagni Hernia Repair: A Case Report and Review of the Literature

Cantone

Gulìa

Miele

et al. 2016

Case Reports in Surgery

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Wandering spleen and gastric volvulus are two rare entities that have been described in association with congenital diaphragmatic hernia. The diagnosis is difficult and any delay can result in ischemia and necrosis of both organs. We present a case of a 13-year-old girl, previously operated on for anterior diaphragmatic hernia and intrathoracic gastric volvulus, that presented to our service for a subdiaphragmatic gastric volvulus recurrence associated with a wandering spleen. In this report we reviewed the literature, analyzing the clinical presentation, diagnostic assessment, and treatment options of both conditions, in particular in the case associated with diaphragmatic hernia.

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“…Среди провоцирующих факторов называют травмы и оперативные вмешательства на органах брюшной полости, приём чрезмерного количества пищи. Существуют предположения о связи гипер-трофического пилоростеноза с возникновением заворота желудка у детей грудного возраста [4].…”

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Acute Gastric Volvulus With Perforation

Шидаков¹,

Калниязов²,

Караев³

2018

Kuban. nauсh. med. vestnik

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Республиканское государственное бюджетное лечебно-профилактическое учреждение «Карачаево-Черкесская республиканская клиническая больница», ул. Гвардейская, д.1, Черкесск, Россия, 369000. АННОТАЦИЯ ЦЕЛЬ. Демонстрация клинического случая острого заворота желудка и краткий литературный обзор данного забо-левания. Материалы и методы. Ребёнок 12 лет, обратившийся по поводу острых болей в животе, многократной рвоты, с типичными признаками непроходимости верхнего отдела желудочно-кишечного тракта. Результаты. После проведённого клинического и инструментального обследования, ребёнок был оперирован в экстренном порядке. При лапаротомии было установлено наличие у больного острого вторичного заворота желудка с некрозом и перфорацией, на фоне истинной левосторонней диафрагмальной грыжи, тяжёлое поражение подже-лудочной железы. После ушивания дефекта желудка, пластики диафрагмы, была выполнена тщательная санация и дренирование брюшной полости. Послеоперационный период протекал тяжело в связи с осложнениями основного заболевания. В результате проведённого лечения больной был выписан в удовлетворительном состоянии. Заключение. Клинический случай подтверждает тяжесть данной нозологии, сопровождающейся серьёзными по-следствиями. Хотя в нашем случае больной выздоровел, диагностические ошибки и развивающиеся осложнения при остром завороте желудка нередко ведут к летальному исходу.Ключевые слова: заворот желудка, кишечная непроходимость, некроз, перфорация, детская хирургия I. H. SHIDAKOV, B. M. KALNIYAZOV, A. A. KARAEV ACUTE GASTRIC VOLVULUS WITH PERFORATION Republican State Budgetary Medical and Preventive Institution "Karachay-Cherkess Republican ClinicalHospital", Gvardejskaja str., 1, Cherkessk, Russia, 369000.ABSTRACT Aim. To demonstrate a clinical case of acute gastric volvulus and to give a brief literary review of the disease. Materials and methods.A 12-year-old child who has applied for acute abdominal pain, repeated vomiting, with typical signs of obstruction of the upper gastrointestinal tract. Results. After the clinical and instrumental examination, the child was urgently operated. With laparotomy, the patient was diagnosed with acute secondary gastric volvulus with necrosis and perforation, against the background of a true left-sided diaphragmatic hernia, severe pancreatic lesions. The patient had a suturing of the stomach defect, diaphragm plastic, thorough sanitation and drainage of the abdominal cavity. The postoperative period was very difficult, due to complications of the underlying disease. As a result of the treatment, the patient was discharged in satisfactory condition. Conclusion.The clinical case confirms the severity of this nosology, accompanied by serious consequences. In our case, the patient recovered, but diagnostic errors and developing complications in acute gastric lavage often lead to death.

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Acute gastric volvulus and congenital diaphragmatic hernia, case report and review

Cited by 10 publications

References 15 publications

Malrotation in Congenital Diaphragmatic Hernia: Is It Really a Problem?

Malrotation in Congenital Diaphragmatic Hernia: Is It Really a Problem?

Wandering Spleen and Organoaxial Gastric Volvulus after Morgagni Hernia Repair: A Case Report and Review of the Literature

Acute Gastric Volvulus With Perforation

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