Congenital diaphragmatic hernia with gastric volvulus presenting as an acute tension gastrothorax

Beckmann, Kathleen; Nozicka, Charles A.

doi:10.1016/s0735-6757(99)90011-6

Cited by 19 publications

(12 citation statements)

References 8 publications

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“…In our case, we were unable to pass the NG tube into the stomach until it was manually manipulated in. This similar inability to pass the tube has been reported in 3 other cases [17,19,25]. A distended, obstructed stomach is prone to ischemia and perforation, which could be fatal.…”

Section: Discussionsupporting

confidence: 80%

See 1 more Smart Citation

Delayed presentation of congenital diaphragmatic hernia manifesting as combined-type acute gastric volvulus: a case report and review of the literature

Ayala

Naik‐Mathuria

Olutoye

2008

Journal of Pediatric Surgery

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Section: Discussionsupporting

confidence: 80%

“…Delay in treatment can lead to devastating complications such as strangulation, ischemia, perforation, pancreatitis, peritonitis, shock, and death [19,25]. Needle decompression of an acutely distended stomach that cannot be accessed with a NG tube is a useful adjunct.…”

Section: Discussionmentioning

confidence: 99%

Delayed presentation of congenital diaphragmatic hernia manifesting as combined-type acute gastric volvulus: a case report and review of the literature

Ayala

Naik‐Mathuria

Olutoye

2008

Journal of Pediatric Surgery

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“…[8][9][10][11] A posterolateral congenital diaphragmatic defect may become symptomatic later in life, [12][13][14] causing abdominal or respiratory symptoms. However, to our knowledge there have been no other reported cases of adults suffering cardiorespiratory collapse caused by a gastrothorax precipitated by a left congenital diaphragmatic defect.…”

Section: Discussionmentioning

confidence: 99%

Congenital Diaphragmatic Hernia Complicated by Tension Gastrothorax During Gastroscopy: Report of a Case

et al. 2005

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Bochdalek's hernia typically manifests early in childhood, but it is uncommon in adults. We report the case of a 77-year-old woman who suffered sudden acute cardiorespiratory distress during an upper gastro-intestinal endoscopy, caused by a massive gastrothorax, confirmed by a chest radiograph and thoracic computed tomography. Laparotomy revealed a posterolateral diaphragmatic defect and an acutely distended stomach occupying the left hemithorax, caused by an incomplete organoaxial volvulus of the organ. The stomach was reduced and secured inside the abdominal cavity by a Nissen fundoplication and the defect was repaired with interrupted sutures. Unfortunately, the patient succumbed to generalized sepsis resulting from Pneumocystis carinii bilateral pneumonia. To our knowledge, this is the first reported case in the English literature of an adult with a congenital posterolateral hernia presenting in this manner. However, it demonstrates that a symptomatic congenital diaphragmatic hernia should be surgically repaired to prevent the numerous complications that may arise, many of which can prove fatal even in an adult.

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“…Numerous complications of a delayed CDH have been reported in children, including respiratory distress, small or large bowel obstruction and strangulation, and gastric volvulus 5 , 6. A posterolateral congenital diaphragmatic defect may become symptomatic later in adult life, causing abdominal and/or respiratory symptoms 3 , 7.…”

Section: Discussionmentioning

confidence: 99%

Gastrothorax following upper gastrointestinal tract endoscopy

Ahmed

Elsayed²

2009

Case Reports

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A 27-year-old man presented with vomiting and breathlessness for 1 day, 5 days after upper gastrointestinal tract endoscopy. On admission, the patient was breathless but not cyanosed; he had sinus tachycardia (heart rate 110 beats/min) and was normotensive (blood pressure 120/75 mm Hg). There were signs of mediastinal shift to the right. There were no breath sounds over the left side of the chest but normal breath sounds were heard to the right of the sternum. His chest x ray, CT scan of the chest and a barium meal study revealed gastrothorax. He was operated on and at surgery the stomach and ascending colon were found herniating into the chest through a posterolateral defect of the left hemidiaphragm. These were moved back to the abdomen and the diaphragmatic defect was closed. The patient made an uneventful recovery and remained well when seen in the clinic 2 months following surgery.

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Congenital diaphragmatic hernia with gastric volvulus presenting as an acute tension gastrothorax

Cited by 19 publications

References 8 publications

Delayed presentation of congenital diaphragmatic hernia manifesting as combined-type acute gastric volvulus: a case report and review of the literature

Delayed presentation of congenital diaphragmatic hernia manifesting as combined-type acute gastric volvulus: a case report and review of the literature

Congenital Diaphragmatic Hernia Complicated by Tension Gastrothorax During Gastroscopy: Report of a Case

Gastrothorax following upper gastrointestinal tract endoscopy

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