Acute intrathoracic gastric volvulus: A rare delayed presentation of congenital diaphragmatic hernia: A case report

Gastric volvulus in a child with diaphragmatic eventration presenting with respiratory distress  

“…This abnormal stomach rotation can be primarily due to gastric ligament abnormalities or secondary to other congenital malformations 2 . Secondary gastric volvulus is commoner than primary gastric volvulus 3 . Eventration of the diaphragm, hiatus hernia, congenital diaphragmatic hernia, malrotation of the gut and traumatic diaphragmatic rupture predispose to developing secondary gastric volvulus 2 .…”

“…The antrum and the fundus of the stomach rotate in opposite directions so that the antrum changes position from inferior to superior 1 . This is the most common type of gastric volvulus and is usually associated with diaphragmatic defects 3 . In mesenteric-axial volvulus, rotation occurs along a vertical axis extending from the liver to greater curvature 1 .…”

Gastric Volvulus – A Rare Entity

“…It can present as haemoperitoneum [15]. Gastric volvulus is also been reported in traumatic diaphragmatic rupture, congenital hernias and postoperatively [16,17]. There are few cases which were complicated by gastric volvulus after Nissen fundoplication.…”

Acute Mesentero-Axial Gastric Volvulus in the Setting of a Paraesophageal Hernia: A Rare Case Report

“…The term gastric volvulus is derived from the Latin term volvere meaning to turn or roll, and is clinically defined as the abnormal rotation or torsion of the stomach. 1 , 2 Gastric volvulus is classified by its axis of rotation: organo-axial (long-axis) and mesentero-axial (short-axis), with mesentero-axial volvulus making up less than a third of the cases. 3 Peak incidence of acute gastric volvulus is seen in two age cohorts: infants and individuals over the age of 50 years.…”

“… 5 Patients often present acutely with epigastric pain, nausea, and vomiting, preceded by violent retching. 6 If not detected early, a gastric volvulus may progress to a closed-loop obstruction causing gastric strangulation with ischemia and necrosis; 2 thus a prompt diagnosis is imperative. Herein, we present a very rare case of an acute mesentero-axial gastric volvulus reduced with a nasogastric tube.…”