Neonatal Intrathoracic Gastric Volvulus in Marfan's Syndrome
We report a 12-day-old male who was admitted with vomiting because of an unusual early complication of Marfan's syndrome (MS): a sliding hiatal hernia. Initial ultrasound showed no stomach at its normal position and the chest X-ray presented an intrathoracic gas bubble with the nasogastric tube...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2018-01-01
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| Series: | European Journal of Pediatric Surgery Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1666795 |
| _version_ | 1818258838899392512 |
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| author | Javier Serradilla Alba Bueno Carlos De La Torre Eduardo Alonso Gamarra Martha Muñoz Romo Francisco de Borja Nava Hurtado de Saracho María Álvarez Barrial Manuel Gomez Cervantes Manuel Lopez Santamaria |
| author_facet | Javier Serradilla Alba Bueno Carlos De La Torre Eduardo Alonso Gamarra Martha Muñoz Romo Francisco de Borja Nava Hurtado de Saracho María Álvarez Barrial Manuel Gomez Cervantes Manuel Lopez Santamaria |
| author_sort | Javier Serradilla |
| collection | DOAJ |
| description | We report a 12-day-old male who was admitted with vomiting because of an unusual early complication of Marfan's syndrome (MS): a sliding hiatal hernia. Initial ultrasound showed no stomach at its normal position and the chest X-ray presented an intrathoracic gas bubble with the nasogastric tube inside. An upper gastrointestinal contrast study confirmed the complete herniation of the stomach into the thorax. Via an exploratory laparotomy it was carefully reintroduced into the abdomen, following a hiatal reconstruction. A Thal fundoplication and a gastrostomy were also performed to guarantee its fixation. Although characterized by cardiac/aortic abnormalities, MS should be considered in any infant with hiatal/paraesophageal hernia, which should be repaired early to avoid gastric ischemia/volvulus. |
| first_indexed | 2024-12-12T18:05:55Z |
| format | Article |
| id | doaj.art-3dd33a2251c84fe49331a6f084bdbbd4 |
| institution | Directory Open Access Journal |
| issn | 2194-7619 2194-7627 |
| language | English |
| last_indexed | 2024-12-12T18:05:55Z |
| publishDate | 2018-01-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | European Journal of Pediatric Surgery Reports |
| spelling | doaj.art-3dd33a2251c84fe49331a6f084bdbbd42022-12-22T00:16:30ZengGeorg Thieme Verlag KGEuropean Journal of Pediatric Surgery Reports2194-76192194-76272018-01-010601e48e5110.1055/s-0038-1666795Neonatal Intrathoracic Gastric Volvulus in Marfan's SyndromeJavier Serradilla0Alba Bueno1Carlos De La Torre2Eduardo Alonso Gamarra3Martha Muñoz Romo4Francisco de Borja Nava Hurtado de Saracho5María Álvarez Barrial6Manuel Gomez Cervantes7Manuel Lopez Santamaria8Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, SpainDepartment of Pediatric Surgery, Hospital Universitario La Paz, Madrid, SpainDepartment of Pediatric Surgery, Hospital Universitario La Paz, Madrid, SpainDepartment of Radiology, Hospital Universitario La Paz, Madrid, SpainDepartment of Pediatric Surgery, Hospital Universitario La Paz, Madrid, SpainDepartment of Pediatric Surgery, Hospital Universitario La Paz, Madrid, SpainDepartment of Pediatric Surgery, Hospital Universitario La Paz, Madrid, SpainDepartment of Pediatric Surgery, Hospital Universitario La Paz, Madrid, SpainDepartment of Pediatric Surgery, Hospital Universitario La Paz, Madrid, SpainWe report a 12-day-old male who was admitted with vomiting because of an unusual early complication of Marfan's syndrome (MS): a sliding hiatal hernia. Initial ultrasound showed no stomach at its normal position and the chest X-ray presented an intrathoracic gas bubble with the nasogastric tube inside. An upper gastrointestinal contrast study confirmed the complete herniation of the stomach into the thorax. Via an exploratory laparotomy it was carefully reintroduced into the abdomen, following a hiatal reconstruction. A Thal fundoplication and a gastrostomy were also performed to guarantee its fixation. Although characterized by cardiac/aortic abnormalities, MS should be considered in any infant with hiatal/paraesophageal hernia, which should be repaired early to avoid gastric ischemia/volvulus.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1666795marfan's syndromeneonatalintrathoracic stomachhiatal herniagastric volvulus |
| spellingShingle | Javier Serradilla Alba Bueno Carlos De La Torre Eduardo Alonso Gamarra Martha Muñoz Romo Francisco de Borja Nava Hurtado de Saracho María Álvarez Barrial Manuel Gomez Cervantes Manuel Lopez Santamaria Neonatal Intrathoracic Gastric Volvulus in Marfan's Syndrome European Journal of Pediatric Surgery Reports marfan's syndrome neonatal intrathoracic stomach hiatal hernia gastric volvulus |
| title | Neonatal Intrathoracic Gastric Volvulus in Marfan's Syndrome |
| title_full | Neonatal Intrathoracic Gastric Volvulus in Marfan's Syndrome |
| title_fullStr | Neonatal Intrathoracic Gastric Volvulus in Marfan's Syndrome |
| title_full_unstemmed | Neonatal Intrathoracic Gastric Volvulus in Marfan's Syndrome |
| title_short | Neonatal Intrathoracic Gastric Volvulus in Marfan's Syndrome |
| title_sort | neonatal intrathoracic gastric volvulus in marfan s syndrome |
| topic | marfan's syndrome neonatal intrathoracic stomach hiatal hernia gastric volvulus |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1666795 |
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