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Acute intrathoracic gastric volvulus from a diaphragmatic hernia after left splenopancreatectomy: Report of a case.
Surg Today. 2006; 36(11):981-4.ST

Abstract

Intrathoracic gastric volvulus is a rare event. It occurs when the stomach undergoes organoaxial torsion in the chest, caused either by concomitant enlargement of the hiatus or by a diaphragmatic hernia. A delay in diagnosis and treatment can result in fatal complications such as gastric ischemia, perforation, and hemorrhage. We report a case of intrathoracic localization of an acute and incarcerated organoaxial gastric volvulus caused by a left-sided diaphragmatic hernia resulting from a diaphragmatic injury. The patient had undergone a left splenopancreatectomy 4 years earlier for non-Hodgkin's lymphoma. We performed an emergency left thoracotomy with reduction of the acute volvulus, resection of the adhesions, and exeresis of an inflammatory mass from the omentum, with good results. The mechanisms of volvulus and diaphragmatic hernia with the relative diagnostic and therapeutic implications are discussed after this case report.

Authors+Show Affiliations

Department of Application in Surgery of Innovative Technologies, Section of General and Thoracic Surgery, University of Bari Medical School, Bari, 70124, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17072719

Citation

Testini, Mario, et al. "Acute Intrathoracic Gastric Volvulus From a Diaphragmatic Hernia After Left Splenopancreatectomy: Report of a Case." Surgery Today, vol. 36, no. 11, 2006, pp. 981-4.
Testini M, Vacca A, Lissidini G, et al. Acute intrathoracic gastric volvulus from a diaphragmatic hernia after left splenopancreatectomy: Report of a case. Surg Today. 2006;36(11):981-4.
Testini, M., Vacca, A., Lissidini, G., Di Venere, B., Gurrado, A., & Loizzi, M. (2006). Acute intrathoracic gastric volvulus from a diaphragmatic hernia after left splenopancreatectomy: Report of a case. Surgery Today, 36(11), 981-4.
Testini M, et al. Acute Intrathoracic Gastric Volvulus From a Diaphragmatic Hernia After Left Splenopancreatectomy: Report of a Case. Surg Today. 2006;36(11):981-4. PubMed PMID: 17072719.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute intrathoracic gastric volvulus from a diaphragmatic hernia after left splenopancreatectomy: Report of a case. AU - Testini,Mario, AU - Vacca,Angelo, AU - Lissidini,Germana, AU - Di Venere,Beatrice, AU - Gurrado,Angela, AU - Loizzi,Michele, PY - 2004/05/06/received PY - 2005/03/15/accepted PY - 2006/10/31/pubmed PY - 2007/1/24/medline PY - 2006/10/31/entrez SP - 981 EP - 4 JF - Surgery today JO - Surg. Today VL - 36 IS - 11 N2 - Intrathoracic gastric volvulus is a rare event. It occurs when the stomach undergoes organoaxial torsion in the chest, caused either by concomitant enlargement of the hiatus or by a diaphragmatic hernia. A delay in diagnosis and treatment can result in fatal complications such as gastric ischemia, perforation, and hemorrhage. We report a case of intrathoracic localization of an acute and incarcerated organoaxial gastric volvulus caused by a left-sided diaphragmatic hernia resulting from a diaphragmatic injury. The patient had undergone a left splenopancreatectomy 4 years earlier for non-Hodgkin's lymphoma. We performed an emergency left thoracotomy with reduction of the acute volvulus, resection of the adhesions, and exeresis of an inflammatory mass from the omentum, with good results. The mechanisms of volvulus and diaphragmatic hernia with the relative diagnostic and therapeutic implications are discussed after this case report. SN - 0941-1291 UR - https://www.unboundmedicine.com/medline/citation/17072719/Acute_intrathoracic_gastric_volvulus_from_a_diaphragmatic_hernia_after_left_splenopancreatectomy:_Report_of_a_case_ L2 - https://dx.doi.org/10.1007/s00595-006-3281-y DB - PRIME DP - Unbound Medicine ER -