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Volvulus complicating dextrogastria in an infant.
1Department of Pediatric Surgery, Maulana Azad Medical College, New Delhi 110 002, India.
Indian Pediatrics
|March 14, 2007
Summary
Eventration of the right hemi-diaphragm can cause gastric volvulus in infants. This rare condition required surgical intervention and re-operation due to recurrence.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Congenital Abnormalities
Background:
- Eventration of the diaphragm is a rare congenital anomaly where one half of the diaphragm fails to fully descend.
- Gastric volvulus is a twisting of the stomach, which can be a surgical emergency.
Observation:
- A case of right hemi-diaphragm eventration in an infant led to right-sided gastric volvulus.
- Diagnosis was confirmed using a contrast computed tomography (CT) scan.
Findings:
- Initial surgical management included gastric reduction, diaphragm plication, gastropexy, and Ladds procedure.
- The infant experienced recurrent volvulus, necessitating a second laparotomy two months post-initial surgery.
Implications:
- This case highlights the rare association between diaphragmatic eventration and gastric volvulus in infants.
- Early diagnosis and appropriate surgical planning are crucial for managing this complex condition.
- Recurrence of gastric volvulus may occur, requiring further surgical intervention.
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