Acute gastric volvulus in a patient with trisomy 21

Arima, Kei; Hashimoto, Daisuke; Takata, Noboru; Doi, Yasuro; Yoshinaka, Ichiro; Harada, Kazunori; Baba, Hideo

doi:10.1186/s40792-014-0005-1

Cited by 3 publications

(1 citation statement)

References 14 publications

(10 reference statements)

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“…Endoscopy is highly suggestive to see the distortion of any gastric anatomy. Initial management includes gastric decompression followed by surgery to check the gastric viability, reduction of the volvulus, resection of gangrenous portion, repair of the predisposing structural defects, and gastropexy to prevent a recurrence [11]. An emergent laparotomy is still a commonly used treatment option for gastric volvulus.…”

Section: Discussionmentioning

confidence: 99%

A Twist in Crohn’s Disease: A Rare Case of Gastric Volvulus

Abideen

Bhatti

Jaan

et al. 2020

Cureus

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An 80-year-old male with a past medical history of Crohn's disease presented to the emergency department with complaints of nausea and multiple episodes of coffee-ground emesis and was initially diagnosed with upper gastrointestinal bleed. On physical examination, the patient was noted to have a mildly tense and tender abdomen with hyperactive bowel sound. His CT abdomen showed a markedly distended stomach with mesenteroaxial (MA) rotation and localized fluid in the left upper quadrant with the caudal displacement of the spleen due to the left upward position of the stomach. The gastric outflow tract was pinched to the left of the midline superior to the esophagogastric junction, consistent with the gastric volvulus. Endoscopic detorsion was initially planned, but it was unsuccessful due to the twisting of the distal stomach in the antrum. The patient underwent laparoscopic detorsion and gastropexy. He was found to be asymptomatic after the procedure and was discharged with outpatient follow-up. Gastric volvulus is a rare yet potentially fatal condition due to its variable presentation, and it can have lethal consequences if not treated properly and in a timely manner.

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Section: Discussionmentioning

confidence: 99%

A Twist in Crohn’s Disease: A Rare Case of Gastric Volvulus

Abideen

Bhatti

Jaan

et al. 2020

Cureus

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Adult primary gastric volvulus, a report of two cases

Miura¹,

Otsuka²,

Arita³

et al. 2019

AME Case Rep

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Gastric Volvulus: A Rare Entity Case Report and Literature Review

Akhtar

Siddiqui

Sheikh³

et al. 2018

Cureus

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Gastric volvulus is a rare entity defined as an abnormal rotation of the stomach around itself. It is a diagnosis of exclusion; the clinical index of suspicion is always low and is mostly diagnosed on imaging or on the surgery table. When it occurs, it is an emergency due to the risk of strangulation and consequent gangrene of the stomach. Mesentero-axial (MA) gastric volvuli constitute one-third of all cases. Here, we are present an interesting case of acute MA gastric volvulus diagnosed with imaging and treated subsequently.

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Acute gastric volvulus in a patient with trisomy 21

Cited by 3 publications

References 14 publications

A Twist in Crohn’s Disease: A Rare Case of Gastric Volvulus

A Twist in Crohn’s Disease: A Rare Case of Gastric Volvulus

Adult primary gastric volvulus, a report of two cases

Gastric Volvulus: A Rare Entity Case Report and Literature Review

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