Gastric volvulus: Two cases and a review of the literature

Milne, Leslie W.; Hunter, John; Anshus, John S.; Rosén, Peter

doi:10.1016/0736-4679(94)90270-4

Cited by 41 publications

(27 citation statements)

References 19 publications

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“…Organo-axial volvulus occurs in approximately 59% of cases. Mesentero-axial volvulus comprises 29% and combined volvulus comprises 12% of cases [11]. All of our patients had organo-axial malrotation.…”

Section: Discussionmentioning

confidence: 96%

Gastric organo-axial malrotation coexisting respiratory symptoms

et al. 2008

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Gastric malrotation is defined as a torsion of stomach around its short or long axis. It is a rare disease in childhood. Gastric malrotation may present either as a surgical emergency or as chronic abdominal symptoms. There is limited data about the respiratory symptoms associated with gastric malrotation. The aim of this study was to review the records of 14 children who presented with respiratory symptoms and diagnosed as gastric organo-axial malrotation. Between August 2005 and August 2007, 14 children diagnosed as having gastric organo-axial malrotation participated in this study. There were 11 boys and three girls with a mean age of 7.1 months. All patients were symptomatic. Presenting symptoms included wheezing in four patients, recurrent pneumonia in four, chronic cough in two, chronic cough and apnea in two, recurrent pneumonia and chronic cough in one, and chronic cough and failure to thrive in one. All of our patients had organo-axial gastric malrotation. Gastroesophageal reflux was found in nine patients (64.2%). Six patients were treated with surgery and antireflux medication and the remaining eight patients with antireflux medication. In conclusion, it is probable that gastric malrotation associated with massive or occult gastroesophageal reflux could be responsible for the respiratory symptoms such as chronic cough, recurrent pneumonia, wheezing, and apnea.

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Section: Discussionmentioning

confidence: 96%

Gastric organo-axial malrotation coexisting respiratory symptoms

et al. 2008

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“…This condition is known as gastric volvulus and is defined as an abnormal rotation of the stomach by more than 180°, which produces a closed loop obstruction that can result in incarceration and strangulation [4][5][6]. For this patient, the volvulus was of mixed type; that is, there was torsion in both the short and long axial directions with the cardiac region in particular forming the axis of torsion along the short axis [7,8].…”

Section: Discussionmentioning

confidence: 99%

Autopsy findings for a case of acute gastric volvulus in a child

et al. 2015

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“…5 In these cases strangulation is more likely to occur due to obstruction at the gastro-oesophageal junction, pylorus or both 1. In 30% of cases the stomach rotates along its transverse axis, taking the pylorus over the fundus (see figure 5).…”

Section: Discussionmentioning

confidence: 99%

Acute visceral obstruction

Mabbutt¹,

Burdall

Kariyawasam

2013

BMJ Case Reports

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SUMMARYGastric volvulus is a rare cause for acute visceral obstruction, with a high mortality rate that rises with delay in definitive treatment. A 33-year-old woman with a rare chromosomal mutation (46,XX,del(6)(q25.1q25.3)) presented with evidence of acute visceral obstruction. Diagnostic difficulties delayed treatment and she clinically deteriorated. Urgent CT imaging revealed acute mesentero-axial gastric volvulus. At laparotomy, global failure of colonic and splenic fixation was found. The viscera were de-rotated, the stomach salvaged and gastropexy and colopexy were performed. This is the first report of gastric volvulus secondary to congenital absence of colonic and splenic ligamentous attachments occurring in a patient over 30 years of age. This case is interesting not only due to unique pathology, but also highlights that general surgeons must be aware of the possibility of unusual causes for intestinal obstruction in patients with recognised genetic abnormalities, even in adult cases, to avoid harmful diagnostic delay. BACKGROUND

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Gastric volvulus: Two cases and a review of the literature

Cited by 41 publications

References 19 publications

Gastric organo-axial malrotation coexisting respiratory symptoms

Gastric organo-axial malrotation coexisting respiratory symptoms

Autopsy findings for a case of acute gastric volvulus in a child

Acute visceral obstruction

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