Chronic gastric volvulus with diaphragmatic eventration: Case presentation.

التفاصيل البيبلوغرافية
العنوان: Chronic gastric volvulus with diaphragmatic eventration: Case presentation.
المؤلفون: Costa MA; General Surgery Department, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal. Electronic address: maria.adrianocosta@hotmail.com., da Silva SD; General Surgery Department, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal. Electronic address: sofia.silva.71127@chbv.min-saude.pt., Moreira AC; General Surgery Department, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal. Electronic address: catarina.moreira.71483@chbv.min-saude.pt., Santos T; General Surgery Department, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal. Electronic address: maria.santos.70011@chbv.min-saude.pt., Noronha J; General Surgery Department, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal. Electronic address: joana.noronha.11295@chbv.min-saude.pt., Moreira R; General Surgery Department, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal.
المصدر: International journal of surgery case reports [Int J Surg Case Rep] 2024 Jan; Vol. 114, pp. 109095. Date of Electronic Publication: 2023 Nov 28.
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Elsevier B.V Country of Publication: Netherlands NLM ID: 101529872 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2210-2612 (Print) Linking ISSN: 22102612 NLM ISO Abbreviation: Int J Surg Case Rep Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Amsterdam] : Elsevier B.V.
مستخلص: Introduction and Importance: Gastric volvulus is a rare clinical entity which occurs due to the rotation of the stomach and can have life-threatening complications. This condition can have an acute or chronic presentation and its symptoms will vary according to the degree of obstruction and rapidity of onset.
Case Presentation: We report a case of a 84-year-old male with history of frequent periods of constipation and lack of appetite who presented to the emergency room with left-sided abdominal pain and distension and persistent nausea, without the ability to vomit. Abdominal radiograph, computed tomography scan of the abdomen, contrast-enhanced examination and upper endoscopy were consistent with a gastric volvulus secondary to diaphragmatic eventration. The patient's symptoms resolved after nasogastric tube placement and fluid resuscitation. However, he was proposed to a laparoscopic anterior gastropexy to prevent symptom recurrence. He remains asymptomatic after 3 years of follow-up.
Clinical Discussion: The diagnosis of gastric volvulus is based mainly on clinical presentation and abdominal imaging. The main principles of surgical intervention include stomach decompression with volvulus reduction, followed by gastropexy and correction of any predisposing intra-abdominal factors.
Conclusion: Definitive treatment of both acute and chronic gastric volvulus includes a surgical approach. Laparoscopic anterior gastropexy has been found to be a viable alternative in these patients.
Competing Interests: Conflict of interest statement None.
(Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)
فهرسة مساهمة: Keywords: Case report; Diaphragmatic eventration; Gastropexy; Laparoscopy; Stomach volvulus
تواريخ الأحداث: Date Created: 20231130 Latest Revision: 20240113
رمز التحديث: 20240114
مُعرف محوري في PubMed: PMC10730735
DOI: 10.1016/j.ijscr.2023.109095
PMID: 38035865
قاعدة البيانات: MEDLINE
الوصف
تدمد:2210-2612
DOI:10.1016/j.ijscr.2023.109095