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Neonatal Intrathoracic Stomach without Gastric Volvulus
Sriharsha Bokka1, Manoj Kumar Mohanty2
1Department Of Surgery, ESIC model hospital, Hyderabad, Telangana India.
The Indian Journal of Surgery
|December 21, 2016
Summary
Intrathoracic stomach is a rare congenital anomaly in neonates. Early antenatal diagnosis and surgical management can prevent complications like gastric infarction and improve outcomes.
Area of Science:
- Pediatric Surgery
- Neonatal Medicine
- Congenital Abnormalities
Background:
- Intrathoracic stomach is a rare congenital abnormality with potential for serious complications.
- Gastric volvulus and ischemic gastric infarction are significant risks in neonates with this condition.
- Accurate antenatal diagnosis is crucial for proactive neonatal management and morbidity reduction.
Purpose of the Study:
- To report a case of intrathoracic stomach in a neonate without volvulus.
- To highlight the importance of differentiating this anomaly from congenital diaphragmatic hernia.
- To emphasize the successful surgical management and follow-up of this rare condition.
Main Methods:
- Case report of a neonate diagnosed with intrathoracic stomach.
- Surgical intervention for the correction of the anomaly.
- Post-operative clinical follow-up.
Main Results:
- The neonate presented with an intrathoracic stomach without gastric volvulus.
- Surgical management was successfully performed.
- The child is recovering well under regular follow-up.
Conclusions:
- Intrathoracic stomach, though rare, requires careful consideration in neonatal diagnostics.
- Distinguishing it from congenital diaphragmatic hernia is vital due to differing associated conditions like pulmonary hypoplasia.
- Prompt surgical intervention offers a favorable prognosis for neonates with intrathoracic stomach.
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