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2022, Number 1-2

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Rev Mex Cir Endoscop 2022; 23 (1-2)

Gastric volvulus: presentation of a clinical case resolved by laparoscopy

Maldonado-García EL, Álvarez-Barragán AF, Torres-Castillo KS, Román-Sandoval JJ, Galicia-Alemán B

Language: Spanish
References: 10
Page: 37-40
PDF size: 206.65 Kb.


ABSTRACT

Introduction: gastric volvulus is defined as an abnormal rotation of the stomach greater than 180o on its own axis and is a very rare pathology. The case presented here illustrates the high index of suspicion required for timely diagnosis and describes one of the possible ways to treat it laparoscopically. Case presentation: a 49-year-old female with a month of evolution of epigastric abdominal pain radiating to the chest and in the right hemibelt, who presented sudden high-intensity pain in the epigastric region, nausea and vomiting. The diagnosis of gastric volvulus was established based on the tomographic findings and it was resolved by means of hiatal plasty and anterior laparoscopic gastropexy with good results. Conclusion: there is no current consensus for the surgical treatment of gastric volvulus, but this case shows that laparoscopic resolution with hiatal plasty and anterior gastropexy is an option that can offer good results.


REFERENCES

  1. Takahashi T, Yamoto M, Nomura A, Ooyama K, Sekioka A, Yamada Y et al. Single-incision laparoscopic gastropexy for mesentero-axial gastric volvulus. Surg Case Rep. 2019; 5: 19.

  2. Akhtar A, Siddiqui FS, Sheikh AAE, Sheikh AB, Perisetti A. Gastric volvulus: a rare entity case report and literature review. Cureus. 2018; 10: e2312.

  3. Caldaro T, Torroni F, Romeo E, Federici di Abriola G, Dall'Oglio L. Gastric volvulus. In: Till H, Thompson M, Foker J, Holcomb G, Khan K. Esophageal and gastric disorders in infancy and childhood. Berlin, Heidelberg: Springer; 2017. Vol. 1. pp. 1355-1360.

  4. 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.

  5. Ibáñez Sanz L, Borruel Nacenta S, Cano Alonso R, Díez Martínez P, Navallas Irujo M. Vólvulos del tracto gastrointestinal. Diagnóstico y correlación entre radiología simple y tomografía computarizada multidetector. Radiología. 2020; 57: 35-43.

  6. Villela-Cañas E, Carrillo-Gorena MJ, Soto-Pérez A, Aguirre-Baca DA, Enríquez-Sánchez LB, Padilla-López JG et al. Vólvulo gástrico: reporte de caso en el Hospital Central Universitario del Estado de Chihuahua. Cir Gen. 2020; 42: 306-310.

  7. Cardile AP, Heppner DS. Gastric volvulus, Borchardt's triad, and endoscopy: a rare twist. Hawaii Med J. 2011; 70: 80-82.

  8. al-Salem AH. Intrathoracic gastric volvulus in infancy. Pediatr Radiol. 2000; 30: 842-845.

  9. Lee NK, Kim S, Jeon TY, Kim HS, Kim DH, Seo HI et al. Complications of congenital and developmental abnormalities of the gastrointestinal tract in adolescents and adults: evaluation with multimodality imaging. Radiographics. 2010; 30: 1489-1507.

  10. Krim AO, Andronikou S, Rubin G. Predisposing factors for developing gastric volvulus and the role of imaging. S Afr J Surg. 2012; 50: 131-133.




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