Acute gastric volvulus and congenital posterolateral diaphragmatic hernia

被引:23
作者
Leitao, B
Mota, CR
Enes, C
Ferreira, P
Vieira, P
Requeijo, D
机构
[1] HOSP MARIA PIA, DEPT PEDIAT, P-4050 OPORTO, PORTUGAL
[2] HOSP PADRE AMER, DEPT PEDIAT, VALE SOUSA PENAFIEL, PORTUGAL
关键词
acute gastric volvulus; infancy; posterolateral diaphragm hernia;
D O I
10.1055/s-2008-1071065
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
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.
引用
收藏
页码:106 / 108
页数:3
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