Volvulus

Bauman, Zachary M.; Evans, Charity H.

doi:10.1016/j.suc.2018.06.005

Cited by 73 publications

(144 citation statements)

References 82 publications

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“…Primary GV is the result of neoplasm, adhesions, or abnormalities in the attachment of the stomach. Secondary GV, however, is related to disorders of gastric anatomy or function or abnormalities (1).…”

Section: Discussionmentioning

confidence: 99%

“…Chest X-ray may demonstrate a retrocardiac, air-filled mass and plain abdominal X-ray may show a distended, fluid-filled stomach (1). Recently, abdominal CT is performed in patients who presented to the emergency department with abdominal pain due to the greater utility and easier accessibility of CT. A swirl sign, which is the appearance of rotation of the esophagus and stomach around each other on axial CT images, may be distinguished.…”

Section: Discussionmentioning

confidence: 99%

“…It is defined as abnormal rotation of the stomach more than 180 degrees. Risk factors for GV in adults include: age greater than 50 years, diaphragmatic abnormalities (diaphragmatic injury and eventration, left lung resection or pleural adhesions), phrenic nerve paralysis, other anatomical gastrointestinal pyloric stenosis, gastroduodenal tumors or splenic abnormalities and kyphoscoliosis (1,2). Herein, we present a case of GV due to Morgagni hernia presenting to the emergency department with complaints of abdominal pain and distention.…”

Section: Introductionmentioning

confidence: 99%

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Gastric Volvulus: A Rare Diagnosis of Abdominal Pain

Aksu¹,

Biçek²,

Görgülü³

et al. 2019

Eurasian J Emerg Med

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Gastric volvulus (GV) is a rare but life-threatening condition in case of delay in diagnosis and treatment. Herein, we presented a case of GV due to Morgagni hernia presenting to the emergency department with complaints of abdominal pain and distention. A 59-year-old male patient was admitted to the emergency department with abdominal pain and distension, nausea and vomiting. His past medical history included coronary artery disease, hypertension, multiple sclerosis and left diaphragmatic hernia. On initial examination, pulse rate was 119/min and other vital signs were normal. Abdominal examination revealed epigastric tenderness. Posteroanterior chest X-ray showed an air bubble in the left hemithorax. Thoracoabdominal CT was performed for differential diagnosis. Department of Emergency Radiology reported a mesenteroaxial gastric volvulus at the superior gastro-esophageal junction with a Morgagni hernia including left hemidiaphragmatic defect with herniation of the gastric corpus, first part of the duodenum and transverse colon. Following placement of the nasogastric tube, 1300 mL gastric secretion was drained and abdominal distention was relieved. Patient was referred to the operating room. Morgagni hernia and the diaphragm defect were repaired. During follow-up in general surgery ward, a sudden cardiac arrest developed on the 5 th day and he died. If a patient presents to the emergency departmen with abdominal pain and distention, GV should be considered in the differential diagnosis, although rare.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Gastric Volvulus: A Rare Diagnosis of Abdominal Pain

Aksu¹,

Biçek²,

Görgülü³

et al. 2019

Eurasian J Emerg Med

View full text Add to dashboard Cite

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“…Intestinal volvulus may occur in pediatric patients with various underlying diseases such as midgut malrotation, adhesions, tumors, and Meckel or other small‐bowel diverticula . Intestinal volvulus is a potentially life‐threatening condition regardless of the presence of these underlying diseases .…”

mentioning

confidence: 99%

“…Key Words-malrotation; neonate; ultrasound; volvulus I ntestinal volvulus may occur in pediatric patients with various underlying diseases such as midgut malrotation, adhesions, tumors, and Meckel or other small-bowel diverticula. 1 Intestinal volvulus is a potentially life-threatening condition regardless of the presence of these underlying diseases. 2 Early diagnosis and rapid surgical intervention are important to prevent necrosis of the midgut, mortality, and short bowel syndrome due to massive small-bowel resection.…”

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confidence: 99%

Use of ultrasound findings to predict bowel ischemic changes in pediatric patients with intestinal volvulus

Hosokawa

Tanami

et al. 2019

J of Ultrasound Medicine

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Objectives Early diagnosis and prompt surgical intervention are important to prevent intestinal necrosis in patients with volvulus. The purpose of this study was to determine which ultrasound (US) findings may predict bowel ischemic changes in pediatric patients with intestinal volvulus. Methods Thirty‐one pediatric patients with surgically proven intestinal volvulus were retrospectively reviewed. We compared the demographics and US findings (eg, superior mesenteric artery collapse, ascites, echogenic ascites, and degree of intestinal twist) between patients with and without bowel ischemic changes during surgery. Data are presented as median and range. The Fisher exact test, Mann‐Whitney U test, and Wilcoxon signed rank sum test were used for statistical analyses. Results Eleven patients had bowel ischemic changes. Significant differences existed between patients with and without ischemic changes for age (2 days [range, 0–137 days] versus 6.5 days [range, 2–1618 days]; P = .02), superior mesenteric artery collapse (present/absent, 10/1 versus 9/11 patients; P = .02), the presence of ascites (present/absent, 8/3 versus 6/14 patients; P = .03), and intestinal twist degree on US imaging (540° [range, 180°–720°] versus 360° [range, 180°–720°]; P = .02). The groups did not significantly differ for sex, the time from the US examination to the operation, or echogenic ascites. The intestinal twist degree insignificantly differed between US and surgical findings (360° [range, 180°–720°] versus 360° [range, 0°–1080°]; P = .36). Conclusions The presence of superior mesenteric artery collapse, ascites, and a large intestinal twist on US imaging were significant predictors of intestinal ischemic changes. Pediatric surgeons should perform prompt surgical interventions in cases of volvulus with these US findings.

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Abdominal/Gastroenterology Emergencies

Callahan¹

2022

Emergency Medicine Simulation Workbook

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Volvulus

Cited by 73 publications

References 82 publications

Gastric Volvulus: A Rare Diagnosis of Abdominal Pain

Gastric Volvulus: A Rare Diagnosis of Abdominal Pain

Use of ultrasound findings to predict bowel ischemic changes in pediatric patients with intestinal volvulus

Abdominal/Gastroenterology Emergencies

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