Acute gastric volvulus: A rare case report and literature review
| Autor: | Mohammad Alsulaimy, Shreif Saber, Dalia Albloushi, Khalifah Alyatama, Amgad S. Abdel-Rahman, Salman Alsafran, Abdullah A. Alfawaz, Danah Quttaineh |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Gangrene
Gastric volvulus medicine.medical_specialty Gastric gangrene business.industry Stomach General surgery Perforation (oil well) Ischemia Gastric outlet obstruction General Medicine Borchardt's triad medicine.disease Organoaxial volvulus digestive system diseases Volvulus medicine.anatomical_structure Case report medicine Surgery Surgical emergency Acute gastric volvulus business |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| Popis: | Introduction and importance Gastric volvulus is the abnormal gastric rotation upon itself. It carries a considerable risk for gastric strangulation which may lead to gangrene and perforation, which can be fatal. It commonly presents with non-specific and vague abdominal symptoms making prompt diagnosis and management imperative. This is a case report describing a case of acute organo-axial gastric volvulus. Case presentation A 74-year-old female, with no comorbidities, presented to our department with non-specific abdominal symptoms. Gastric outlet obstruction was suspected. The patient was reviewed by the gastroenterologist and was offered an urgent upper endoscopy. The upper endoscopy findings described a gastric volvulus, and a Computed Tomography (CT) scan was done to confirm the diagnosis. The patient underwent exploratory/diagnostic laparoscopy and successful reduction and fixation followed. There was no evidence of tissue compromise or ischemia. The patient was discharged on post-operative day 4 following an unremarkable postoperative course. Clinical discussion Acute gastric volvulus is a surgical emergency which can be associated with a high morbidity and mortality, if complications occur. The most important factor in diagnosing acute volvulus of the stomach is a high index of suspicion of the clinical symptoms and should be confirmed by imaging. Contrast enhanced computed tomography (CT) scan is the preferred imaging modality. Urgent surgical intervention is needed to prevent potentially fatal complications. Conclusion Acute Gastric Volvulus is rare and carries the risk of significant morbidity and mortality. Prompt recognition and treatment is required to prevent complications. Highlights • Acute gastric volvulus is a rare potentially life-threatening condition. • Prompt diagnosis and treatment is vital to improve patient outcome. • Contrast enhanced Computed Tomography is the preferred imaging modality used to confirm the diagnosis of gastric volvulus. • Surgical repair is the treatment of choice. |
| Databáze: | OpenAIRE |
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