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Acute gastric volvulus and congenital posterolateral diaphragmatic hernia.
Eur J Pediatr Surg. 1997 Apr; 7(2):106-8.EJ

Abstract

Acute gastric volvulus in infancy is a rare disorder and a surgical emergency. Prompt clinical suspicion and radiological assessment are essential for this life-threatening condition. We report a 3-month-old female case, admitted for an initial suspicion of an intestinal obstruction. She presented unproductive retching, respiratory distress, epigastric distension and lethargy. It was not possible to introduce a naso-gastric tube. A radiological contrast study showed an occluded cardio-esophageal junction without passage of barium, two gastric fluid levels and a horizontally positioned stomach occupying the inferior portion of the left hemithorax, suggesting a left diaphragmatic hernia. Laparotomy revealed an acute mesenterico-axial gastric volvulus with a left posterolateral diaphragmatic hernia. The stomach volvulus was untwisted, the diaphragmatic defect was repaired after reduction of the herniated contents and no gastropexy was done. At 3 and 6-months follow-up examination the infant was asymptomatic and thriving.

Authors+Show Affiliations

Department of Pediatric Surgery, Hospital Maria Pia Porto, Portugal.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

9165258

Citation

Leitão, B, et al. "Acute Gastric Volvulus and Congenital Posterolateral Diaphragmatic Hernia." European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Fur Kinderchirurgie, vol. 7, no. 2, 1997, pp. 106-8.
Leitão B, Mota CR, Enes C, et al. Acute gastric volvulus and congenital posterolateral diaphragmatic hernia. Eur J Pediatr Surg. 1997;7(2):106-8.
Leitão, B., Mota, C. R., Enes, C., Ferreira, P., Vieira, P., & Requeijo, D. (1997). Acute gastric volvulus and congenital posterolateral diaphragmatic hernia. European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Fur Kinderchirurgie, 7(2), 106-8.
Leitão B, et al. Acute Gastric Volvulus and Congenital Posterolateral Diaphragmatic Hernia. Eur J Pediatr Surg. 1997;7(2):106-8. PubMed PMID: 9165258.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute gastric volvulus and congenital posterolateral diaphragmatic hernia. AU - Leitão,B, AU - Mota,C R, AU - Enes,C, AU - Ferreira,P, AU - Vieira,P, AU - Requeijo,D, PY - 1997/4/1/pubmed PY - 1997/4/1/medline PY - 1997/4/1/entrez SP - 106 EP - 8 JF - European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie JO - Eur J Pediatr Surg VL - 7 IS - 2 N2 - Acute gastric volvulus in infancy is a rare disorder and a surgical emergency. Prompt clinical suspicion and radiological assessment are essential for this life-threatening condition. We report a 3-month-old female case, admitted for an initial suspicion of an intestinal obstruction. She presented unproductive retching, respiratory distress, epigastric distension and lethargy. It was not possible to introduce a naso-gastric tube. A radiological contrast study showed an occluded cardio-esophageal junction without passage of barium, two gastric fluid levels and a horizontally positioned stomach occupying the inferior portion of the left hemithorax, suggesting a left diaphragmatic hernia. Laparotomy revealed an acute mesenterico-axial gastric volvulus with a left posterolateral diaphragmatic hernia. The stomach volvulus was untwisted, the diaphragmatic defect was repaired after reduction of the herniated contents and no gastropexy was done. At 3 and 6-months follow-up examination the infant was asymptomatic and thriving. SN - 0939-7248 UR - https://www.unboundmedicine.com/medline/citation/9165258/Acute_gastric_volvulus_and_congenital_posterolateral_diaphragmatic_hernia_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2008-1071065 DB - PRIME DP - Unbound Medicine ER -