Gastric volvulus with partial and complete gastric necrosis

Abstract

Here, we report two interesting cases of gastric necrosis in acute gastric volvulus due to eventration of the diaphragm. Both the cases presented with a significant challenge and were managed successfully. The management of the cases is presented and relevant literature is discussed. To the best of our knowledge, this is the first case report of gastric volvulus with gastric necrosis requiring complete and partial gastrectomy in the available English literature.

Acute gastric volvulus: A vicious twist of tummy-case report

“…Partial or total gastrectomy may be required in cases of gangrene or perforation of stomach [5]. To the best of our knowledge, very few cases of gastric volvulus requiring total gastrectomy have been reported in the literature [15], [16], [17]. Several other procedures have been described in literature such as diaphragmatic hernia repair, gastropexy with division of gastrocolic ligament (Tanner’s operation), fundo-antral gastrogastrostomy (Opolzer’s operation), repair of diaphragmatic eventration [8].…”

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

“…No particular positional abnormality of the spleen was observed, but its somewhat small size (weight, 34 g) may have contributed to the gastric volvulus [9,10]. The great majority of patients with the diagnosis of gastric volvulus recover with conservative treatment or elective surgery, but several cases of perforation due to gastric volvulus have been reported [11][12][13]. Emergency surgery is required to repair perforation or to correct strangulation, but no perforation was evident in this case.…”

Gastric necrosis and perforation in a patient with Asperger’s syndrome

“…There are a few case reports describing different causes of gastric necrosis, including gastric volvulus,12 caustic substance ingestion,13 acute necrotising gastritis,14 pancreatitis15 and vascular thrombosis 16 17…”