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 | B Leitão, C R Mota, C Enes, P Ferreira, P Vieira, D Requeijo |
Journal | European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie
(Eur J Pediatr Surg)
Vol. 7
Issue 2
Pg. 106-8
(Apr 1997)
ISSN: 0939-7248 [Print] United States |
PMID | 9165258
(Publication Type: Case Reports, Journal Article)
|
Topics |
- Acute Disease
- Female
- Hernia, Diaphragmatic
(complications, diagnostic imaging)
- Hernias, Diaphragmatic, Congenital
- Humans
- Infant
- Radiography
- Stomach Volvulus
(complications, diagnostic imaging, surgery)
|