Reduction of acute gastric volvulus in a 3-year-old using a balloon-attached endoscope combined with gel immersion endoscopy

Gastric volvulus is an uncommon clinical entity seen in both adults and pediatric patients. It occurs when the stomach is rotated atleast 180 degrees along its longitudinal or transverse axes. Gastric volvulus may present acutely or may present with intermittent, recurrent and chronic symptoms. In acute presentation, there is risk of strangulation of stomach leading to necrosis , perforation and shock. Hence, prompt diagnosis and treatment of acute gastric volvulus helps to decrease morbidity and mortality. We encountered a case of a 20 year old male patient who presented to the emergency department with acute onset of abdominal pain and distension. Following Contrast Enhanced Computed Tomography and upper GI endoscopy a diagnosis of acute strangulated gastric volvulus with eventeration of left hemidiaphragm was made and patient was posted for emergency laparotomy. Intraoperative ndings included mesenteroaxial volvulus of the stomach with transmural necrosis of the fundus and proximal part of body of stomach along the greater curvature with eventeration of left hemidiaphragm and superior displacement of spleen with infarct of lower part of spleen

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Epigastric Pain due to Acute Gastric Volvulus

Journal of Emergency Medicine ◽

10.1016/j.jemermed.2019.09.010 ◽

2019 ◽

Vol 57 (6) ◽

pp. e185-e186

Author(s):

Anish Vinit Patel ◽

Frank J. Senatore ◽

Abhishek Bhurwal

Keyword(s):

Epigastric Pain ◽

Gastric Volvulus ◽

Acute Gastric Volvulus

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Delayed diaphragmatic rupture presenting with acute gastric volvulus

Annals of The Royal College of Surgeons of England ◽

10.1308/003588414x13946184902082 ◽

2014 ◽

Vol 96 (7) ◽

pp. e17-e19 ◽

Cited By ~ 2

Author(s):

JML Williamson ◽

R Macleod ◽

A Hollowood

Keyword(s):

Computed Tomography ◽

Cardiac Arrest ◽

Epigastric Pain ◽

Rare Complication ◽

Gastric Volvulus ◽

Diaphragmatic Rupture ◽

Motorcycle Accident ◽

Thoracic Computed Tomography ◽

Acute Gastric Volvulus ◽

Hospital Cardiac Arrest

Gastric volvulus is a rare complication of diaphragmatic rupture. We report the case of an 82-year-old man who presented following an out-of-hospital cardiac arrest. Chest radiography and thoracic computed tomography revealed an acute gastric volvulus and a chronic diaphragmatic hernia containing transverse colon and abdominal viscera. He had complained of retching and associated epigastric pain prior to collapse, and had sustained a motorcycle accident approximately 60 years earlier. Insertion of a nasogastric tube was unsuccessful (completing Borchardt’s diagnostic triad) and his condition prevented both operative and endoscopic reduction of his volvulus. He died soon afterwards.

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Acute Gastric Volvulus in the Elderly: A Case Report and Review of the Literature

International Journal of Gerontology ◽

10.1016/j.ijge.2015.12.003 ◽

2016 ◽

Vol 10 (3) ◽

pp. 183-185 ◽

Cited By ~ 2

Author(s):

Anis Chaari ◽

Mohamed El Bahr ◽

Shehab Abdulsalam Khashaba ◽

Mohamed Ismail ◽

Tarek Mahmoud ◽

...

Keyword(s):

Case Report ◽

Gastric Volvulus ◽

The Elderly ◽

Review Of The Literature ◽

Acute Gastric Volvulus

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Acute Gastric Volvulus and Perforation after Laparoscopic Nissen Fundoplication

The American Surgeon ◽

10.1177/000313481207800705 ◽

2012 ◽

Vol 78 (7) ◽

pp. 344-345

Author(s):

Amir Alhajjat ◽

Gopal C. Kowdley

Keyword(s):

Nissen Fundoplication ◽

Gastric Volvulus ◽

Laparoscopic Nissen Fundoplication ◽

Acute Gastric Volvulus ◽

Laparoscopic Nissen

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Acute Gastric Volvulus and Atrial Fibrillation with RVR: A Coincidence or Association

Case Reports in Critical Care ◽

10.1155/2017/9403601 ◽

2017 ◽

Vol 2017 ◽

pp. 1-3

Author(s):

Omar Nadhem ◽

Omar Salh ◽

Faisal Khasawneh

Keyword(s):

Atrial Fibrillation ◽

Abdominal Pain ◽

Diaphragmatic Hernia ◽

Gastric Volvulus ◽

Shortness Of Breath ◽

Threatening Condition ◽

Acute Gastric Volvulus ◽

Ventricular Response ◽

Life Threatening ◽

Upper Abdominal

Gastric volvulus is a rare and life-threatening condition that involves the abnormal rotation of the stomach around its axis by more than 180°. The association between acute gastric volvulus and atrial fibrillation with rapid ventricular response is rare with only few cases that have been reported. Our patient was an 86-year-old female who presented with upper abdominal pain, distension, nausea, and shortness of breath. Clinical and laboratory workup revealed acute gastric volvulus with diaphragmatic hernia. On presentation, she was also in atrial fibrillation with rapid ventricular response. She was successfully treated by laparotomy with reduction of the gastric volvulus and repair of the diaphragmatic hernia, with significant improvement.

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