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Gastric volvulus with partial and complete gastric necrosis
Ram Mohan Shukla1, Kartik Chandra Mandal1, Sujay Maitra2
1Department of Pediatric Surgery, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India.
Journal of Indian Association of Pediatric Surgeons
|March 8, 2014
Summary
This report details two successful cases of acute gastric volvulus with gastric necrosis, a rare condition caused by diaphragm eventration. Management involved gastrectomy, highlighting a unique surgical challenge.
Area of Science:
- Gastroenterology
- Surgical Case Reports
- Diaphragmatic Abnormalities
Background:
- Acute gastric volvulus is a rare condition where the stomach twists on itself.
- Eventration of the diaphragm, a partial paralysis or absence of diaphragm muscle, can predispose to gastric volvulus.
- Gastric necrosis is a severe complication indicating compromised blood supply.
Observation:
- Two cases of acute gastric volvulus with gastric necrosis secondary to diaphragm eventration were observed.
- Both patients presented with significant clinical challenges requiring prompt intervention.
- Successful management strategies were implemented for both cases.
Findings:
- The study presents the first reported cases of gastric volvulus with gastric necrosis necessitating partial and complete gastrectomy.
- Successful surgical outcomes were achieved in both challenging cases.
- The management approach and relevant literature are discussed.
Implications:
- This report expands the understanding of rare gastrointestinal emergencies.
- It highlights the importance of considering gastric volvulus in patients with diaphragmatic abnormalities and severe upper abdominal symptoms.
- The successful gastrectomy outcomes suggest viable surgical options for this complex condition.
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