Acute Gastric Volvulus in a Six-Year-Old: A Case Report and Review of the Literature

Tillman, Bourke W.; Merritt, Neil; Emmerton‐Coughlin, Heather; Mehrotra, Shruti; Zwiep, Terry; Lim, Rodrick

doi:10.1016/j.jemermed.2013.08.046

Cited by 18 publications

(13 citation statements)

References 8 publications

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“…5 However, when it does occur, it carries a high mortality rate of 65%. 11 It can be classified based on its axis of rotation or according to presentation, that is, acute or chronic. 1 Organoaxial volvulus is the most common (in approximately 60% of cases), occurring when the stomach rotates around an axis joining the gastro-oesophageal junction and the pylorus, as in the current case.…”

Section: Discussionmentioning

confidence: 99%

Lethal mechanisms in gastric volvulus

Omond

Byard

2017

Med Sci Law

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A 55-year-old wheelchair-bound woman with severe cerebral palsy was found at autopsy to have marked distention of the stomach due to a volvulus. The stomach was viable, and filled with air and fluid and had pushed the left dome of the diaphragm upwards causing marked compression of the left lung with a mediastinal shift to the right (including the heart). There was no evidence of gastric perforation, ischaemic necrosis or peritonitis. Removal of the organ block revealed marked kyphoscoliosis. Histology confirmed the viability of the stomach and biochemistry showed no dehydration. Death in cases of acute gastric volvulus usually occurs because of compromise of the gastric blood supply resulting in ischaemic necrosis with distention from swallowed air and fluid resulting in perforation with lethal peritonitis. Hypovolaemic shock may also occur. However, the current case demonstrates an alternative lethal mechanism, that of respiratory compromise due to marked thoracic organ compression.

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Section: Discussionmentioning

confidence: 99%

Lethal mechanisms in gastric volvulus

Omond

Byard

2017

Med Sci Law

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“…In children, on the contrary, the clinical presentation consists generally on unspecific symptoms. [ 3 10 ] Abdominal distension is usually shown in gastric volvulus[ 3 11 12 ] but when the gastric volvulus is associated with CDH, it may not be present because of the intrathoracic situation of the stomach, which makes the diagnosis more complicated. [ 2 ] Some studies conclude that in older children, late manifestations of CDH tend to be with gastrointestinal symptoms while early symptoms, thus in younger children, tend to be respiratory.…”

Section: Discussionmentioning

confidence: 99%

“…It has been argued that mesenteroaxial volvulus has an increased risk of ischemia compared with organoaxial volvulus because in mesenteroaxial volvulus the gastroesophageal junction and the pylorus are very close, and the vascularisation depends on a single tight pedicle. [ 11 14 ] This specific anatomical condition makes the difference between the initial approach of mesenteroaxial and organoaxial gastric volvulus. The organoaxial volvulus allows a nonemergent surgical treatment if the symptoms resolve with nasogastric decompression and digestive rest, as gastric perfusion is not compromised.…”

Section: Discussionmentioning

confidence: 99%

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

Pérez-Egido¹,

Parente²,

Cerdá³

2015

Afr J Paediatr Surg

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Congenital diaphragmatic hernia (CDH) is the result of the incomplete fusion and closure of the pleuroperitoneal canal during the fetal development. CDH is usually diagnosed prenatally but, if undiagnosed, the clinical presentation ranges from asymptomatic children to serious respiratory or gastrointestinal symptoms. Acute gastric volvulus associated with CDH is a rare surgical emergency in children. We report two cases of acute gastric volvulus associated with CDH and review the literature.

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“…Đây là bệnh lý hiếm gặp, tỷ lệ gặp bệnh chưa được thống kê trong y văn, nhưng tần suất gặp ở người lớn nhiều hơn trẻ nhỏ [1,4] Nguyên nhân gây bệnh do bất thường các dây chằng cố định dạ dày, hay thứ phát sau bệnh lý khác như thoát vị hoành, thoát vị khe thực quản... [3] Xoắn dạ dày đã được mô tả đầu tiên bởi Berti vào năm 1866 [1,4]. Đến nay đã có nhiều bài báo về bệnh lý này [4,8,9] Xoắn dạ dày cấp tính ở trẻ lớn gặp càng ít, vì vậy chẩn đoán càng khó khăn hơn.…”

Section: đặT Vấn đề *unclassified

Study the Isolation Rate and Antibiotic Susceptibility of H. influenza Detected from Nasopharynx of Under 5 Years Old Children with Acute Lower Respiratory Tract Infection in Thanh Hoa Pediatric Hospital

Trung¹

2020

JPRP

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Objective: Study the isolation rate and antibiotic susceptibility of H. influenza detected from nasopharynx of under 5 years old children with Acute Lower Respiratory Tract Infection in Thanh Hoa Pediatric Hospital from 01/01/2018 to 4/30/2018. Summary: The subjects were 2970 specimens collected from the children under 5 years old who were diagnosed with acute lower respiratory tract infection. Culture, isolation and antibiotic susceptibility testing by disk diffusion (Kirby - Bauer) following the guidelines of the Ministry of Health. Selection of antibiotic disks and interpretations of sensitive, intermediate and resistant results according to the guidelines of the Institute of Clinical and Laboratory Standards (CLSI) 2017. Result: The isolation rate of H. influenzae was 28.7%, male (28.6%), female children (28.8%), aged 2 - 6 months (27.6%), 7 - 24 months (28.9%) and 25 - 60 months (30.2%). The isolation rate of H. influenzae from bronchitis is 30.9%, followed by bronchiolitis (28.4%) and pneumonia (30.6%). H. influenzae is susceptible to cefotaxime (5.7%), ceftriaxone (11.9%), ceftazidime (1.2%), meropenem (82,6%), imipenem (81,7%), ciprofloxacin (89.4%). Conclusion: The isolation rate of H. influenzae from nasopharynxis 28.7%. There is no difference in the prevalence of H. influenzae by sex, by age and by disease.H. influenzae is less susceptible to cephalosporin antibiotics, highly susceptible with meropenem, imipenem and ciprofloxacin.

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Acute Gastric Volvulus in a Six-Year-Old: A Case Report and Review of the Literature

Cited by 18 publications

References 8 publications

Lethal mechanisms in gastric volvulus

Lethal mechanisms in gastric volvulus

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

Study the Isolation Rate and Antibiotic Susceptibility of H. influenza Detected from Nasopharynx of Under 5 Years Old Children with Acute Lower Respiratory Tract Infection in Thanh Hoa Pediatric Hospital

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