Organoaxial gastric volvulus with diaphragmatic eventration and wandering spleen: an unusual association

Authors

  • Hemant Kumar Nautiyal Department of Surgery, SRH University, Jollygrant, Dehradun, India
  • Priyank Pathak Department of Surgery, SRH University, Jollygrant, Dehradun, India
  • Jitendra Prasad Ray Department of Surgery, SRH University, Jollygrant, Dehradun, India
  • Shailendra Raghuvanshi Department of Radiology, SRH University, Jollygrant, Dehradun, India

DOI:

https://doi.org/10.18203/2349-2902.isj20160278

Keywords:

Gastric volvulus, Organo-axial, Wandering spleen, Diaphragmatic eventration

Abstract

Organoaxial gastric volvulus occurs when the stomach rotates around a transverse line between the pylorus and gastroesophegeal junction. It is potentially life threatening because delayed diagnosis and treatment may result in perforation, infarction and gangrene of stomach. As it is a rare entity high index of suspicion is required to prevent high morbidity and mortality. Primary Gastric volvulus has been seen in association with congenital asplenia or "wandering spleen" or with diaphragmatic hernia or diaphragmatic eventration. We report a case of 17 year female (perhaps the first in literature) who had wandering spleen, diaphragmatic eventration and gastric volvulus a congenital anomaly rare to find and a brief review of literature.

References

Singleton AC. Chronic gastric volvulous. Radiology. 1940;34:53-61.

Uc A, Kao SC, Sanders KD. Gastric volvulous and wandering spleen. Am J Gastroenterol. 1998;93:1146-8.

Carter R, Brewer LA 3rd, Hinshaw DB. Acute gastric volvulous. A study of 25 cases. Am J Surg. 1980;140:99-106.

Wasselle JA, Norman J. Acute gastric volvulous: Pathogenesis, diagnosis and treatment. Am J Gasteroenterol. 1993;88:1780-4.

Cherukupalli C, Khaneja S, Bankulla P. CT diagnosis of acute gastric volvulus. Dig Surg. 2003;20:497-9.

Gourgiotis S, Vougas V, Germanos S. Acute volvulus: diagnosis and management over 10 years. Dig Surg. 2006;23:169-72.

Teague WJ, Ackroyd R, Watson DI. Changing pattern in the management of gastric volvulus over 14 years. Br J Surg. 2000;87:358-61.

Deslauriers J. Eventration of the diaphragm. Chest Surg Clin N Am. 1998;8(2):315-30.

Kizilcan F, Tanyel FC, Hic ̧so ̈nmez A. The long term results of diaphragmatic plication. J Pediatr Surg. 1993;28(1):42-4.

Kuniyoshi Y, Yamashiro S, Miyagi K, et al. Diaphragmatic plication in adult patients with diaphragm paralysis after cardiac surgery. Ann Thorac Cardiovasc Surg. 2004;10(3):160-6.

Versteegh MI, Braun J, Voigt PG. Diaphragm plication in adult patients with diaphragm paralysis leads to long-term improvement of pulmonary function and level of dyspnea. Eur J Cardiothorac Surg. 2007;32(3):449-56.

Tan HH, Ooi LLPJ, Tan D, Tan CK. Recurrent abdominal pain in a woman with a wandering spleen. Singapore Med J. 2007;48(4):e122-4.

Desai DC, Hebra A, Davidoff AM, Schnaufer L. Wandering spleen: a challenging diagnosis. South Med J. 1997;90(4):439-43.

Cohen MS, Soper NJ, Underwood RA, Quasebarth M, Brunt LM. Laparoscopic splenopexy for wandering (pelvic) spleen. Surg Laparosc Endosc. 1998;8(4):286-90.

Herman TE, Siegel MJ. CT of acute splenic torsion in children with wandering spleen. AJR Am J Roentgenol. 1991;156(1):151-3.

Peitgen K, Majetschak M, Walz MK. Laparoscopic splenopexy by peritoneal and omental pouch construction for intermittent splenic tortion (“Wandering spleen”). Surg Endosc. 2001;15(4):413.

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Published

2016-12-13