1/9. Organo-axial volvulus of the stomach with diaphragmatic eventration.Gastric volvulus occurs when the stomach rotates about its longitudinal axis (organo-axial volvulus), or about an axis joining the lesser and greater curvatures (mesentero-axial volvulus). Primary gastric volvulus, making up one third of cases, occurs when the stabilizing ligaments are too lax as a result of congenital or acquired causes. Secondary gastric volvulus, making up the remainder of cases, occurs in association with a paraesophageal hernia or other congenital or acquired diaphragmatic defects. While gastric volvulus may occur acutely, especially in children, it may not be clinically apparent and discovered incidentally. The authors present a case of chronic organo-axial volvulus of the stomach secondary to left hemidiaphragmatic eventration with a review of the relevant literature.- - - - - - - - - - ranking = 1keywords = diaphragmatic eventration, eventration (Clic here for more details about this article) |
2/9. Bilateral eventration of the diaphragm with perforated gastric volvulus in an adolescent.Bilateral congenital eventration of the diaphragm almost uniformly presents in infancy with respiratory compromise and is associated with a high mortality rate. Delayed presentation of diaphragmatic eventration in older children and adults may be associated with acute gastric volvulus. Thus, any patient with abdominal pain, vomiting, or nonspecific gastrointestinal symptoms in association with abnormal diaphragmatic findings on chest x-ray should undergo further diagnostic workup with upper gastrointestinal series or computed tomography (CT) scan. Treatment of gastric volvulus requires immediate surgical repair to prevent subsequent necrosis and perforation. The authors describe a case report of bilateral congenital diaphragmatic eventration complicated by a perforated gastric volvulus in a 13-year-old boy. Emergent reduction of the volvulus, closure of the perforated stomach, plication of the diaphragm, and placement of gastrostomy was performed successfully.- - - - - - - - - - ranking = 0.76241982988918keywords = diaphragmatic eventration, eventration (Clic here for more details about this article) |
3/9. Chronic gastric volvulus and hypertrophic pyloric stenosis in an infant.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.- - - - - - - - - - ranking = 0.2keywords = diaphragmatic eventration, eventration (Clic here for more details about this article) |
4/9. wandering spleen: a rare cause of mesenteroaxial gastric volvulus.Gastric volvulus is a rare cause of acute abdomen in children. Usually it is associated with defects such as diaphragmatic hernia, hiatal hernia, eventration, and paralysis of the diaphragm. We report an extremely rare case presenting with acute intractable vomiting and abdominal distention. Passage of a nasogastric tube relieved the symptoms. A history of the ingestion of a large bolus of chewing gum and a suboptimal contrast study were misleading, and there was a delay in diagnosis of 3 days. Later, repeat upper GI fluoroscopy with contrast medium identified mesenteroaxial volvulus of the stomach. Exploratory laparotomy additionally revealed a wandering spleen. Derotation of the stomach with anterior gastropexy was performed. To our knowledge, wandering spleen in association with gastric volvulus has been mentioned only three times before in the literature.- - - - - - - - - - ranking = 0.072483965977836keywords = eventration (Clic here for more details about this article) |
5/9. Gastric volvulus. More common than previously thought?Gastric volvulus is torsion of the stomach, which can compromise the gastric orifices and result in either acute or chronic and intermittent symptoms. We believe that gastric volvulus, especially when partial or intermittent, may be more common than has been previously thought. The condition should be suspected in any patient who has a history of retching or vomiting and has a paraesophageal hiatus hernia or eventration of the diaphragm. The classic triad of retching, severe and constant epigastric pain, and difficulty in passing a nasogastric tube should suggest the presence of acute gastric volvulus. The diagnosis is confirmed by specific findings on the upper gastrointestinal series. Acute gastric volvulus is a surgical emergency. Definitive treatment of recurrent chronic gastric volvulus is usually surgical, although conservative measures may have limited success.- - - - - - - - - - ranking = 0.072483965977836keywords = eventration (Clic here for more details about this article) |
6/9. Colonic displacement. Proposed treatment for gastric remnant volvulus due to eventration of the diaphragm.Displacement of the gastric remnant in patients with left diaphragmatic eventration may lead to gastric remnant volvulus requiring surgical correction. This results from the strong negative intrathoracic pulling force created by the potential subphrenic space an paradoxical movement of th diaphragm. Unless this strong negative force is first eliminated, gastropexy alone is likely to result in recurrence. Obliteration of the subphrenic space by colonic displacement is an effective and simple way of abolishing this negative subdiaphragmatic pulling force. Once this is achieved, any form of gastropexy will suffice to permanently prevent gastric remnant translocation and volvulus.- - - - - - - - - - ranking = 0.48993586391135keywords = diaphragmatic eventration, eventration (Clic here for more details about this article) |
7/9. Traumatic eventration of diaphragm complicated by mesenteroaxial volvulus of the stomach.Diaphragmatic disruption is an uncommon consequence of blunt trauma and is often overlooked unless there is a high index of clinical suspicion. A case of eventration of left dome of diaphragm following trauma with mesenteroaxial volvulus of the stomach is presented. Anatomical considerations on levels of diaphragm on chest x-ray has been elaborated.- - - - - - - - - - ranking = 0.36241982988918keywords = eventration (Clic here for more details about this article) |
8/9. Acute mesentero-axial volvulus of the stomach in a child.A case of acute gastric volvulus associated with eventration of the diaphragm in a previously well 6 year old child is reported. The child presented with acute abdominal pain, abdominal distension and vomiting. At operation, mesentero-axial type gastric volvulus was found, associated with laxity of the gastro-splenic, gastrohepatic and gastrocolic ligaments and eventration of the left hemidiaphragm. Rapid recovery followed surgery that included release of distension and fixation of the stomach to the anterior abdominal wall. There has been no evidence of recurrence on a 2 year follow-up.- - - - - - - - - - ranking = 0.14496793195567keywords = eventration (Clic here for more details about this article) |
9/9. Acute mesenteroaxial gastric volvulus in an infant: a case report.Only 52 cases of gastric volvulus have been reported in children and infants. The pathophysiology of the condition relates to an abnormal rotation of the stomach. The authors report a case of an 11-month-old infant who presented with an 8-hour history of retching and obtundation. Abdominal distension and left upper-quadrant tenderness were the predominant physical findings. A diagnosis of mesenteroaxial gastric volvulus with eventration of the left hemidiaphram was made by means of plain-films and an upper gastrointestinal series. The child underwent laparotomy and gastrostomy, made a smooth recovery and was well 36 months postoperatively.- - - - - - - - - - ranking = 0.072483965977836keywords = eventration (Clic here for more details about this article) |