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Intrathoracic gastric volvulus in infancy
1Division of Paediatric Surgery, Department of Surgery, Qatif Central Hospital, Qatif, Saudi Arabia.
Insights
Intrathoracic gastric volvulus is a rare surgical emergency in infants. Early diagnosis and treatment are crucial to prevent severe complications like cardiorespiratory arrest.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Thoracic Surgery
Background:
- Intrathoracic gastric volvulus is a rare surgical emergency.
- Prompt diagnosis and intervention are vital to prevent gastric gangrene, perforation, obstruction, and dilation.
- These complications can lead to cardiorespiratory arrest.
Observation:
- Two infant cases of intrathoracic gastric volvulus are presented.
- One case was associated with recurrent diaphragmatic hernia.
- The other case involved a congenital paraoesophageal hernia.
Findings:
- The study highlights the association between intrathoracic gastric volvulus and specific types of diaphragmatic hernias in infants.
- It underscores the importance of considering this condition in infants presenting with relevant symptoms.
Implications:
- Early recognition and surgical management of intrathoracic gastric volvulus in infants are critical.
- Understanding the associated hernia types can aid in diagnosis and surgical planning.
- This condition requires prompt surgical intervention to avoid life-threatening outcomes.
Abstract:
Intrathoracic gastric volvulus is a very rare surgical emergency. Early diagnosis and treatment are of great importance to prevent gastric gangrene and perforation or gastric obstruction and dilation, which may lead to cardiorespiratory arrest. We report two infants who presented with intrathoracic gastric volvulus. This was associated with recurrent diaphragmatic hernia in one and congenital paraoesophageal hernia in the other. Aspects of diagnosis and treatment are also discussed.