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Laparoscopic repair of a late-presenting Bochdalek diaphragmatic hernia with acute gastric volvulus.
BMJ Case Rep. 2013 Mar 20; 2013BC

Abstract

An otherwise healthy 17-year-old boy presented to the paediatric emergency department with acute severe epigastric pain. An admission abdominal radiograph demonstrated gastric dilation, associated with an elevated left hemidiaphragm. Subsequent barium contrast imaging confirmed the diagnosis of organoaxial acute gastric volvulus (AGV). Emergent exploratory laparoscopy revealed AGV with migration of the stomach, spleen, pancreatic tail, splenic flexure, left kidney and adrenal through a left-sided Bochdalek diaphragmatic hernia. Following careful mobilisation of the displaced structures, a mesh closure of the diaphragmatic defect was performed. The patient's postoperative chest radiograph was unremarkable, and he was discharged on the sixth postoperative day after an uneventful recovery. At 2 months the patient was well and asymptomatic, with normal barium contrast imaging results.

Authors+Show Affiliations

Department of General & Vascular Surgery, Lister Hospital, Stevenage, UK.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

23519514

Citation

Hadjittofi, Christopher, et al. "Laparoscopic Repair of a Late-presenting Bochdalek Diaphragmatic Hernia With Acute Gastric Volvulus." BMJ Case Reports, vol. 2013, 2013.
Hadjittofi C, Matter I, Eyal O, et al. Laparoscopic repair of a late-presenting Bochdalek diaphragmatic hernia with acute gastric volvulus. BMJ Case Rep. 2013;2013.
Hadjittofi, C., Matter, I., Eyal, O., & Slijper, N. (2013). Laparoscopic repair of a late-presenting Bochdalek diaphragmatic hernia with acute gastric volvulus. BMJ Case Reports, 2013. https://doi.org/10.1136/bcr-2013-008990
Hadjittofi C, et al. Laparoscopic Repair of a Late-presenting Bochdalek Diaphragmatic Hernia With Acute Gastric Volvulus. BMJ Case Rep. 2013 Mar 20;2013 PubMed PMID: 23519514.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic repair of a late-presenting Bochdalek diaphragmatic hernia with acute gastric volvulus. AU - Hadjittofi,Christopher, AU - Matter,Ibrahim, AU - Eyal,Ori, AU - Slijper,Nadav, Y1 - 2013/03/20/ PY - 2013/3/23/entrez PY - 2013/3/23/pubmed PY - 2013/9/4/medline JF - BMJ case reports JO - BMJ Case Rep VL - 2013 N2 - An otherwise healthy 17-year-old boy presented to the paediatric emergency department with acute severe epigastric pain. An admission abdominal radiograph demonstrated gastric dilation, associated with an elevated left hemidiaphragm. Subsequent barium contrast imaging confirmed the diagnosis of organoaxial acute gastric volvulus (AGV). Emergent exploratory laparoscopy revealed AGV with migration of the stomach, spleen, pancreatic tail, splenic flexure, left kidney and adrenal through a left-sided Bochdalek diaphragmatic hernia. Following careful mobilisation of the displaced structures, a mesh closure of the diaphragmatic defect was performed. The patient's postoperative chest radiograph was unremarkable, and he was discharged on the sixth postoperative day after an uneventful recovery. At 2 months the patient was well and asymptomatic, with normal barium contrast imaging results. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/23519514/Laparoscopic_repair_of_a_late_presenting_Bochdalek_diaphragmatic_hernia_with_acute_gastric_volvulus_ L2 - https://casereports.bmj.com/cgi/pmidlookup?view=long&pmid=23519514 DB - PRIME DP - Unbound Medicine ER -