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Acute gastric volvulus secondary to a Morgagni hernia
J Estevão-Costa1, M Soares-Oliveira, J Correia-Pinto
1Division of Pediatric Surgery, Department of Pediatrics, Faculty of Medicine and São João Hospital, University of Porto, Porto, Portugal.
Insights
This study reports the first case of acute gastric volvulus (GV) in a child caused by a Morgagni hernia (MH). It highlights the rarity of this surgical emergency and reviews its causes, symptoms, and treatment.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Congenital Abnormalities
Background:
- Gastric volvulus (GV) is a rare but serious surgical emergency in pediatric patients.
- Morgagni hernias (MH) are congenital diaphragmatic defects that can lead to various complications.
Observation:
- This report details the first documented case of acute GV in a child occurring secondary to a Morgagni hernia (MH).
- The clinical presentation, diagnostic challenges, and successful management of this rare association are discussed.
Findings:
- The study confirms that Morgagni hernias can precipitate acute gastric volvulus in children, a previously unreported etiology.
- Management involved prompt surgical intervention to address both the gastric volvulus and the underlying hernia.
Implications:
- This case expands the known spectrum of complications associated with Morgagni hernias in pediatric populations.
- Awareness of this association is crucial for timely diagnosis and effective surgical management of pediatric surgical emergencies.
Abstract:
Gastric volvulus (GV) is a rare surgical emergency in infancy and childhood. The first case of a child with an acute GV secondary to a Morgagni hernia (MH) is reported. The authors briefly discuss the etiology, clinical features, and management of acute GV and review the scattered reports of strangulated MHs in children.