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Laparoscopic Management of Congenital Intrathoracic Stomach

Sugandha Agarwal1, Anjan Kumar Dhua1, Devendra Kumar Yadav1

  • 1Departments of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.

Journal of Indian Association of Pediatric Surgeons
|April 7, 2025
PubMed

Insights

Congenital intrathoracic stomach (CIS) is a rare condition in infants, often presenting with vomiting and failure to thrive. Laparoscopic surgery offers a successful minimally invasive treatment option for this condition.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Abnormalities

Background:

  • Congenital intrathoracic stomach (CIS) is a rare condition characterized by the stomach's abnormal displacement into the chest cavity.
  • It can lead to significant complications such as vomiting and failure to thrive in infants.
  • Differential diagnosis includes congenital short esophagus and other associated anomalies.

Observation:

  • An 11-month-old girl presented with symptoms of vomiting and failure to thrive.
  • Imaging studies revealed a significant intrathoracic displacement of the stomach, confirming congenital intrathoracic stomach.
  • The patient's condition necessitated prompt surgical intervention.

Findings:

  • Successful management of congenital intrathoracic stomach was achieved through laparoscopic surgery.
  • Minimally invasive surgery provided effective outcomes for this rare pediatric condition.
  • Early diagnosis and surgical intervention are crucial for managing CIS.

Implications:

  • This case highlights the importance of considering rare congenital anomalies in pediatric patients with gastrointestinal symptoms.
  • Laparoscopic surgery is a viable and effective approach for treating congenital intrathoracic stomach.
  • Further research into associated anomalies and long-term outcomes of CIS is warranted.

Keywords:
Congenital intrathoracic stomachcongenital short esophaguslaparoscopy

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