1/10. Gastric volvulus associated with wandering spleen in a child.wandering spleen is an uncommon entity in childhood and has been described only rarely in association with gastric volvulus. wandering spleen and gastric volvulus were diagnosed in a 5-year-old boy who presented with acute abdominal pain and distension. Intraoperatively, normal ligamentous connections between the stomach, spleen, and posterior abdominal wall were absent. Developmental anomalies that result in wandering spleen may lead to hypermobility of the stomach and a predisposition to gastric volvulus. In such patients, prophylactic gastropexy should be considered.- - - - - - - - - - ranking = 1keywords = ligament (Clic here for more details about this article) |
2/10. 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 = ligament (Clic here for more details about this article) |
3/10. Gastric volvulus associated with congenital diaphragmatic hernia, wandering spleen, and intrathoracic left kidney: CT findings.We present an unusual case of gastric volvulus associated with wandering spleen, a delayed manifestation of congenital diaphragmatic hernia and left intrathoracic kidney. Gastric volvulus should be considered in any infant with unexplained vomiting and left diaphragmatic anomaly: in these patients, developmental disorders of the peritoneal visceral attachments of the left upper abdomen may coexist. The absence of ligamentous connections between the stomach, posterior abdominal wall, and spleen result in wandering spleen. We emphasize prompt surgical therapy to avoid gastric and splenic necrosis. Radiologic findings and the appearance of this complex congenital malformation are reported.- - - - - - - - - - ranking = 1keywords = ligament (Clic here for more details about this article) |
4/10. Acute gastric volvulus due to deficiency of the gastrocolic ligament in a newborn.Gastric volvulus is rare in the neonatal period. Only three cases of gastric volvulus due to deficiency of gastrocolic ligament have been reported until now in the literature. We describe a neonatal case due to absence of the gastrocolic ligament. Stamm gastrostomy was performed for fixation and there has been no recurrence of his symptoms during a 13-month post-operative period. CONCLUSION: Stamm gastrostomy is a viable treatment of gastric volvulus due to lack of the gastrocolic ligament.- - - - - - - - - - ranking = 7keywords = ligament (Clic here for more details about this article) |
5/10. Organoaxial volvulus of the stomach following corrective surgery for gastric outlet obstruction.We report an unusual complication following vagotomy and pyloroplasty for chronic gastric outlet obstruction. Persistence of increased gastric aspirate led to the diagnosis of organoaxial volvulus of the stomach on barium studies. We postulate that laxity of the gastric suspensory ligaments after gastric decompression and postoperative adhesion were responsible for its development.- - - - - - - - - - ranking = 1keywords = ligament (Clic here for more details about this article) |
6/10. Gastric volvulus as a complication of liver transplant.We report a patient who developed mesenteroaxial gastric volvulus after a liver transplantation. We hypothesize that this complication may have been related to the ligation of the hepatogastric ligament done to mobilize the liver during hepatectomy.- - - - - - - - - - ranking = 1keywords = ligament (Clic here for more details about this article) |
7/10. Gastric volvulus in three children with asplenic syndrome.Gastric volvulus was surgically corrected in three patients with asplenic syndrome associated with severe cardiac anomalies. One patient, whose stomach was necrotic, died postoperatively with an intra-abdominal abscess. The other two patients have remained well. Four intra-abdominal abnormalities were found in the three asplenic patients: (1) absent gastrophrenic ligaments; (2) absent gastrosplenic ligaments; (3) deficient fixation of the pylorus, and (4) proximity of the pylorus to the cardia. Cardiac surgeons and pediatricians who treat the asplenic syndrome should be aware of extracardiac anomalies, especially malfixation of the stomach, which can lead to acute gastric volvulus.- - - - - - - - - - ranking = 2keywords = ligament (Clic here for more details about this article) |
8/10. Internal hernia with gastric outlet obstruction.A patient with an unusual type of internal hernia was treated successfully. To our knowledge, this is the first reported case of a hernia emanating through the gastrohepatic ligament that resulted in gastric outlet obstruction. It is even more remarkable because, although the small bowel was the herniated viscus, the symptoms were due to obstruction of the stomach rather than obstruction of the small bowel.- - - - - - - - - - ranking = 1keywords = ligament (Clic here for more details about this article) |
9/10. 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 = 1keywords = ligament (Clic here for more details about this article) |
10/10. Intermittent dislocation of the liver. A syndrome associated with volvulus of the transverse colon and stomach and obstructive jaundice.Displacement of the right lobe of the liver into the left upper abdominal quadrant can occur only if the diaphragmatic attachments are congenitally absent or traumatically disrupted. To our knowledge, the former situation has not been previously described in an adult patient. A young man with a lifelong history of unexplained intermittent, bizarre upper abdominal pain was found to have a freely movable right lobe of the liver that was attached only to the inferior vena cava. When this lobe was intermittently displaced into the left upper abdomen, volvuli of both the stomach and transverse colon developed. Stretching and tension of the common bile duct on the round ligament resulted in intermittent jaundice. At operation, these findings were confirmed, and the right liver lobe was secured to the diaphragm in its normal position. In addition, the mesenteric attachments of the liver, stomach, and colon were plicated. The patient has had complete relief of all symptoms for the two years since his operation.- - - - - - - - - - ranking = 1keywords = ligament (Clic here for more details about this article) |
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