A case of mesenteroaxial type of acute gastric volvulus associated with diaphragmatic eventration.
- Author:
Nam Il KIM
1
;
Jung Hyun LEE
;
Goo LEE
;
Chang Heon YANG
;
Chang Woo LEE
;
Jong Dae BAE
;
Gee Hoon JUNG
;
Jeong Ill SUH
Author Information
1. Department of Internal Medicine, Dongguk University College of Medicine, Kyungju, Korea.
- Publication Type:Case Report
- Keywords:
Stomach volvulus;
Diaphragmatic eventration
- MeSH:
Abdomen;
Diagnosis;
Diaphragmatic Eventration*;
Early Diagnosis;
Emergencies;
Gastric Bypass;
Gastropexy;
Humans;
Intestinal Volvulus;
Nausea;
Stomach;
Stomach Volvulus*;
Vomiting
- From:Korean Journal of Medicine
2002;63(1):69-73
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute gastric volvulus is extremely rare emergency surgical condition by abnormal rotation of stomach. It presents a puzzling picture which makes early diagnosis difficult, yet surgical interference must be accomplished early if life is to be saved. Gastric volvulus can be classified anatomically as organoaxial or mesenteroaxial. The symptoms triad of gastric volvulus are severe nausea with a paradoxical inability to vomiting, localized epigastric pain and impossibility of introducing a gastric tube. The diagnosis of it may be suspected on plain radiographic examination of the abdomen and symptoms, it is confirmed by specific findings on the upper gastrointestinal series. We experienced a case of mesenteroaxial type of acute gastric volvulus associated with diaphragmatic eventration. We treated this patient with reduction of volvulus, repair of diaphragmatic eventration, gastrojejunostomy and gastropexy. The authors report this case with a brief review of recent literatures.
