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Delayed presentation of congenital diaphragmatic hernia presenting with intrathoracic gastric volvulus: a case report and review.
BMJ Case Rep. 2012 Nov 28; 2012BC

Abstract

Acute gastric volvulus associated with congenital diaphragmatic hernia is an unusual surgical emergency and its presentation in adulthood is extremely rare. Gastric volvulus is an uncommon condition which is difficult to diagnose and treat. This case describes a middle aged man presenting with post-traumatic acute abdomen and finally being diagnosed as a case of gastric volvulus due to congenital diaphragmatic hernia which was till now asymptomatic and undiagnosed. Clinical examination and chest x-ray was suggestive of hiatus hernia. Contrast-enhanced CT of thorax and abdomen revealed hiatus hernia and gastric volvulus. A provisional diagnosis of post-traumatic hiatus hernia with associated gastric volvulus was made and was operated on an emergency basis. Surprisingly, the intraoperative findings revealed significant adhesions near the diaphragm suggestive of congenital diaphragmatic hernia. Hence, a diagnosis of gastric volvulus due to congenital diaphragmatic hernia was made which remained asymptomatic and undiagnosed till adulthood. He responded well to operative management and remained asymptomatic afterwards.

Authors+Show Affiliations

Department of Medicine, Maulana Azad Medical College, New Delhi, India. drhemantnayak@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

23195824

Citation

Nayak, Hemanta K., et al. "Delayed Presentation of Congenital Diaphragmatic Hernia Presenting With Intrathoracic Gastric Volvulus: a Case Report and Review." BMJ Case Reports, vol. 2012, 2012.
Nayak HK, Maurya G, Kapoor N, et al. Delayed presentation of congenital diaphragmatic hernia presenting with intrathoracic gastric volvulus: a case report and review. BMJ Case Rep. 2012;2012.
Nayak, H. K., Maurya, G., Kapoor, N., & Kar, P. (2012). Delayed presentation of congenital diaphragmatic hernia presenting with intrathoracic gastric volvulus: a case report and review. BMJ Case Reports, 2012. https://doi.org/10.1136/bcr-2012-007332
Nayak HK, et al. Delayed Presentation of Congenital Diaphragmatic Hernia Presenting With Intrathoracic Gastric Volvulus: a Case Report and Review. BMJ Case Rep. 2012 Nov 28;2012 PubMed PMID: 23195824.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Delayed presentation of congenital diaphragmatic hernia presenting with intrathoracic gastric volvulus: a case report and review. AU - Nayak,Hemanta K, AU - Maurya,Gaurav, AU - Kapoor,Neha, AU - Kar,Premashis, Y1 - 2012/11/28/ PY - 2012/12/1/entrez PY - 2012/12/1/pubmed PY - 2013/6/5/medline JF - BMJ case reports JO - BMJ Case Rep VL - 2012 N2 - Acute gastric volvulus associated with congenital diaphragmatic hernia is an unusual surgical emergency and its presentation in adulthood is extremely rare. Gastric volvulus is an uncommon condition which is difficult to diagnose and treat. This case describes a middle aged man presenting with post-traumatic acute abdomen and finally being diagnosed as a case of gastric volvulus due to congenital diaphragmatic hernia which was till now asymptomatic and undiagnosed. Clinical examination and chest x-ray was suggestive of hiatus hernia. Contrast-enhanced CT of thorax and abdomen revealed hiatus hernia and gastric volvulus. A provisional diagnosis of post-traumatic hiatus hernia with associated gastric volvulus was made and was operated on an emergency basis. Surprisingly, the intraoperative findings revealed significant adhesions near the diaphragm suggestive of congenital diaphragmatic hernia. Hence, a diagnosis of gastric volvulus due to congenital diaphragmatic hernia was made which remained asymptomatic and undiagnosed till adulthood. He responded well to operative management and remained asymptomatic afterwards. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/23195824/Delayed_presentation_of_congenital_diaphragmatic_hernia_presenting_with_intrathoracic_gastric_volvulus:_a_case_report_and_review_ L2 - https://casereports.bmj.com/cgi/pmidlookup?view=long&pmid=23195824 DB - PRIME DP - Unbound Medicine ER -