Acute Gastric Volvulus and Congenital Posterolateral Diaphragmatic Hernia

Leitão, Banquart; Cr, Mota; Enes, Carlos; Ferreira, Paula; Vieira, P. F. de M. J.; Requeijo, D

doi:10.1055/s-2008-1071065

Cited by 20 publications

(9 citation statements)

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“…In the international literature (Table 1) there are several reports describing features that differ from the typical symptoms of CDH: intrathoracic intestinal obstruction [8][9][10][11][12][13][14], intrathoracic massive gastric enlargement [15][16][17][18], acute gastric volvulus [4,[19][20][21][22], strangulated diaphragmatic hernia [5-8, 10, 13, 23, 24], jaundice [30], meconium peritonitis [31], acute pancreatitis [30][31][32], peritoneal and thoracic bleeding [33,34], pleuritis [36], lung cyst [17], torsion of the spleen [40], gastro-intestinal perforation [30,[37][38][39].…”

Section: Discussionmentioning

confidence: 99%

Bochdaleck diaphragmatic hernia, complicated by an antenatal gastric perforation, presenting as a pneumothorax and a perforative peritonitis

et al. 2007

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Section: Discussionmentioning

confidence: 99%

Bochdaleck diaphragmatic hernia, complicated by an antenatal gastric perforation, presenting as a pneumothorax and a perforative peritonitis

et al. 2007

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“…Patients with delayed Bochdalek hernia usually experience recurrent pulmonary infections, dyspnoea, wheezing, chest and abdominal pain, loss of appetite, nausea, vomiting, diarrhoea and general deterioration [4][5][6]. Gastric and intestinal volvulus, strangulation of the gastric fundus, acute gastric dilatation and secondary tension pneumothorax have also been reported [7][8][9].…”

Section: Discussionmentioning

confidence: 99%

A patient with left-sided pleural effusion

Erdoğan

2006

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A 56-year-old male patient was admitted to the Akdeniz University Hospital (Antalya, Turkey) with a sudden onset of stabbing epigastric pain, nausea and haematemesis. There was no history of trauma, or systemic or chronic disease. The patient was diagnosed as having gastritis and given appropriate treatment. Routine investigations, such as chest radiography, were not performed at this time.Two days later, the patient experienced fever, pain on the left side of the thorax, dyspnoea and a worsening of his general condition. Therefore, he was readmitted to the emergency department.In routine laboratory tests, there were no abnormal findings, with the exception of neutrophilia in peripheral blood. Chest radiography was performed and the results are shown in figure 1.

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“…Generally, gastric distention, regardless of the cause, can cause rotation of the stomach in neonates and infants with lax or immature ligaments. 10,11 The possibility of gastric volvulus increases in patients with an abnormally large amount of subdiaphragmatic space. 1 We hypothesize that the mesenteroaxial rotation of our patient's stomach was due to gastric ligamental laxity and eventration of the diaphragm that had been initiated by gastric distension secondary to HPS.…”

Section: Discussionmentioning

confidence: 99%

“…1 In many of those cases, treatment of concomitant lesions was considered adequate, 3 whereas in others, fixation was not performed owing to the risk of further damaging a stomach whose blood supply was already compromised. 10 In neonates and young infants, laxity of the gastric ligaments and a disproportionately large cardia and fundus, common findings owing to a general organ immaturity, may predispose such patients to idiopathic gastric volvulus. With maturity over a period of months, the right side of the stomach develops and the ligamental attachments strengthen, preventing fluid-induced stomach rotation.…”

Section: Discussionmentioning

confidence: 99%

Chronic gastric volvulus and hypertrophic pyloric stenosis in an infant

Anagnostara

Koumanidou

Vakaki

et al. 2003

J of Clinical Ultrasound

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Chronic secondary mesenteroaxial gastric volvulus associated with hypertrophic pyloric stenosis has rarely been mentioned in the general medical literature. We report the case of a 2-month-old boy whose clinical symptoms, which included distension of the stomach and projectile vomiting, suggested the diagnosis of hypertrophic pyloric stenosis but who was later diagnosed with chronic secondary mesenteroaxial gastric volvulus. Sonographic examination revealed findings consistent with a rotated stomach, and subsequent plain chest radiography demonstrated a left diaphragmatic eventration. An upper gastrointestinal series radiographic examination with barium contrast enhancement confirmed the diagnosis of mesenteroaxial gastric volvulus. Surgery was performed, and the boy recovered well. A follow-up sonographic examination performed 3 months post-operatively revealed no abnormalities. This case demonstrates that primary or secondary gastric volvulus, although rare in children, should be considered in the differential diagnosis of pediatric patients with a history of vomiting.

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Acute Gastric Volvulus and Congenital Posterolateral Diaphragmatic Hernia

Cited by 20 publications

References 0 publications

Bochdaleck diaphragmatic hernia, complicated by an antenatal gastric perforation, presenting as a pneumothorax and a perforative peritonitis

Bochdaleck diaphragmatic hernia, complicated by an antenatal gastric perforation, presenting as a pneumothorax and a perforative peritonitis

A patient with left-sided pleural effusion

Chronic gastric volvulus and hypertrophic pyloric stenosis in an infant

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