Neonatal Intrathoracic Gastric Volvulus in Marfan's Syndrome
| Autor: | Martha Muñoz Romo, María Álvarez Barrial, Eduardo Alonso Gamarra, J Serradilla, Manuel Lopez Santamaria, Manuel Gomez Cervantes, Carlos De La Torre, Alba Bueno, Francisco de Borja Nava Hurtado de Saracho |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Exploratory laparotomy medicine.medical_treatment lcsh:Surgery Case Report Hiatal hernia neonatal 03 medical and health sciences intrathoracic stomach 0302 clinical medicine 030225 pediatrics medicine Hernia Gastric volvulus business.industry Marfan's syndrome lcsh:RJ1-570 lcsh:Pediatrics lcsh:RD1-811 medicine.disease Gastrostomy digestive system diseases Surgery Volvulus medicine.anatomical_structure Sliding Hiatal Hernia gastric volvulus Abdomen 030211 gastroenterology & hepatology business hiatal hernia |
| Zdroj: | European Journal of Pediatric Surgery Reports Repositorio Institucional de la Consejería de Sanidad de la Comunidad de Madrid Consejería de Sanidad de la Comunidad de Madrid European Journal of Pediatric Surgery Reports, Vol 06, Iss 01, Pp e48-e51 (2018) |
| ISSN: | 2194-7627 2194-7619 |
| Popis: | We report a 12-day-old male who was admitted with vomiting because of an unusual early complication of Marfan's syndrome (MS): a sliding hiatal hernia. Initial ultrasound showed no stomach at its normal position and the chest X-ray presented an intrathoracic gas bubble with the nasogastric tube inside. An upper gastrointestinal contrast study confirmed the complete herniation of the stomach into the thorax. Via an exploratory laparotomy it was carefully reintroduced into the abdomen, following a hiatal reconstruction. A Thal fundoplication and a gastrostomy were also performed to guarantee its fixation. Although characterized by cardiac/aortic abnormalities, MS should be considered in any infant with hiatal/paraesophageal hernia, which should be repaired early to avoid gastric ischemia/volvulus. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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