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Gastric Point of Care Ultrasound in Adults: Image Acquisition and Interpretation
Published on: September 22, 2023
A case of 'an upside down stomach'.
1Department of Pediatric Surgery, Advanced Pediatric Center, Post Graduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh, 160012, India.
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|December 15, 2010
Summary
Neonatal paraesophageal hernia with gastric volvulus is extremely rare. This case highlights antenatal diagnosis and management of this condition causing nonbilious emesis in newborns.
Area of Science:
- Pediatric Surgery
- Neonatal Medicine
- Radiology
Background:
- Neonatal paraesophageal hernia is a rare congenital anomaly.
- Intrathoracic gastric volvulus in neonates is exceptionally uncommon.
Observation:
- A 2-day-old term neonate presented with an antenatal diagnosis of paraesophageal hernia.
- The neonate exhibited nonbilious emesis, a key symptom.
Findings:
- The case involved a rare instance of neonatal paraesophageal hernia.
- Classical radiological features aided in the antenatal diagnosis.
- Intrathoracic gastric volvulus was identified as the cause.
Implications:
- Early antenatal diagnosis is crucial for timely surgical intervention.
- Understanding radiological features aids in managing this rare neonatal surgical emergency.
- This case contributes to the literature on neonatal nonbilious emesis causes.
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