medigraphic.com
ISSN 1665-2576 (Print)

2021, Number 3-4

<< Back Next >>

Rev Mex Cir Endoscop 2021; 22 (3-4)

Gastric volvulus; clinical presentation of a complication of previous gastric surgery

Hermosillo-Cornejo DG, López-Almanza PX, Reyes-Rodríguez E, Montalvo-Domínguez GA, Martínez-Garza PA

Language: Spanish
References: 19
Page: 145-149
PDF size: 234.14 Kb.


ABSTRACT

Introduction: Gastric volvulus is a rare entity which was first described in 1841 by Von Rokitansky as a cause of intestinal strangulation. The main clinical factors that suggest a gastric volvulus include severe epigastric pain, retching without vomiting and inability to pass a nasogastric tube. A prompt diagnosis and effective treatment are needed for a good clinical outcome. Case report: We present the case of a 50-year-old man who underwent a laparoscopic fundoplication 10 months prior to admission and presented with progressive abdominal pain and clinical signs suggestive of a gastric volvulus. The diagnosis was confirmed with imaging studies, and a surgical detorsion with gastropexy were performed, with adequate postoperative evolution. Conclusion: Gastric volvulus is a rare medical condition, that presents with a wide spectrum of clinical signs. The creation of guidelines based on scientific evidence should be the objective of future research.


REFERENCES

  1. Gingold D, Murrell Z. Management of colonic volvulus. Clinn Colon Rectal Surg. 2012; 25: 236-244.

  2. Bauman ZM, Evans CH. Volvulus. Surg Clin North Am. 2018; 98: 973-993.

  3. Rashid F, Thangarajah T, Mulvey D, Larvin M, Iftikhar SY. A review article on gastric volvulus: a challenge to diagnosis and management. Int J Surg. 2010; 8: 18-24.

  4. Karthikeyan VS, Sistla SC, Ram D, Rajkumar N. Gastric volvulus following diagnostic upper gastrointestinal endoscopy: a rare complication. BMJ Case Rep. 2014; 2014: bcr2013202833.

  5. Coleman KC, Grabo D. Paraesophageal hernia and gastric volvulus. In: Brown C, Inaba K, Martin M, Salim A eds. Emergency general surgery. Springer, Cham. 2019, 397-403. Available in: https://doi.org/10.1007/978-3-319-96286-3_35

  6. Sleiwah A, Thomas G, Crawford I, Stanek A. Gastric volvulus: a potentially fatal cause of acute abdominal pain. BMJ Case Rep. 2017; 2017: bcr2016217708.

  7. Chau B, Dufel S. Gastric volvulus. Emerg Med J. 2007; 24: 446-447.

  8. Shivanand G, Seema S, Srivastava DN, Pande GK, Sahni P, Prasad R et al. Gastric volvulus: acute and chronic presentation. Clin Imaging. 2003; 27: 265-268.

  9. Light D, Links D, Griffin M. The threatened stomach: management of the acute gastric volvulus. Surg Endosc. 2016; 30: 1847-1852.

  10. Reyes-Zamorano J. Vólvulo gástrico agudo: una complicación tardía de la funduplicatura Nissen. Reporte de dos casos y análisis de la bibliografía. Cir Cir. 2014; 82: 541-550.

  11. Ramos GP, Majumder S, Ravi K, Sweetser S. Role of diagnostic preoperative upper gastrointestinal endoscopy in radiologically confirmed gastric volvulus. Dig Dis Sci. 2018; 63: 3091-3096.

  12. Ghosh RK, Fatima K, Ravakhah K, Hassan C. Gastric volvulus: an easily missed diagnosis of chest pain in the emergency room. BMJ Case Rep. 2016; 2016: bcr2015213888.

  13. Lopez PP, Megha R. Gastric volvulus. [Updated 2019 Aug 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020.

  14. Verde F, Hawasli H, Johnson PT, Fishman EK. Gastric volvulus: unraveling the diagnosis with MPRs. Emerg Radiol. 2019; 26: 221-225.

  15. Toydemir T, Cipe G, Karatepe O, Yerdel MA. Laparoscopic management of totally intra-thoracic stomach with chronic volvulus. World J Gastroenterol. 2013; 19: 5848-5854.

  16. Zuiki T, Hosoya Y, Lefor AK, Tanaka H, Komatsubara T, Miyahara Y et al. The management of gastric volvulus in elderly patients. Int J Surg Case Rep. 2016; 29: 88-93. doi: 10.1016/j.ijscr.2016.10.058.

  17. Jacob CE, Lopasso FP, Zilberstein B, Bresciani CJ, Kuga R, Cecconello I, Gama-Rodrigues JJ. Gastric volvulus: a review of 38 cases. ABCD. Arq Bras Cir Dig. 2009; 22: 96-100. doi: 10.1590/s0102-67202009000200006.

  18. García RM, Tomás NP, Pozo CD, Tarragón AV, Mas EM, Juan RT et al. Tratamiento del vólvulo gástrico agudo mediante abordaje laparoscópico. Cirugía Española, 2013; 91: 189-193. Disponible en: https://doi.org/10.1016/j.ciresp.2012.03.011

  19. Teague WJ, Ackroyd R, Watson DI, Devitt PG. Changing patterns in the management of gastric volvulus over 14 years. Br J Surg. 2000; 87: 358-336.




2020     |     www.medigraphic.com