Acute gastric volvulus six years after PEG-tube placement

Gastric volvulus (GV) is a rare condition in children, occurring either acute or chronically, usually requiring surgical treatment. It results from increased gastric mobility due to absent or attenuated gastric ligaments. Known associations exist with diaphragmatic eventration, diaphragmatic hernia,...

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Main Authors: Jonathan Hencke, Gabriel Nonnenmacher, Steffan Loff
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:Journal of Pediatric Surgery Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213576622000902
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author Jonathan Hencke
Gabriel Nonnenmacher
Steffan Loff
author_facet Jonathan Hencke
Gabriel Nonnenmacher
Steffan Loff
author_sort Jonathan Hencke
collection DOAJ
description Gastric volvulus (GV) is a rare condition in children, occurring either acute or chronically, usually requiring surgical treatment. It results from increased gastric mobility due to absent or attenuated gastric ligaments. Known associations exist with diaphragmatic eventration, diaphragmatic hernia, hiatal hernia and asplenia. Cases of GV following gastrostomy are extremely rare; we report the 6th case world-wide. Our patient, an eleven year old girl with cerebral palsy, presented with a fulminant GV and pneumoperitoneum. She underwent emergency laparotomy revealing gastric necrosis and a large perforation. After closing the defect, we performed a scheduled relaparotomy four days later, and resected the remaining clearly marked necrosis, leaving a considerably smaller stomach, but preventing a gastrectomy. With this report, we would like to draw attention to this life-threatening condition and possible complication of gastrostomies.
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spelling doaj.art-4522ba2b98634dc4bd6d6490f117fe8d2022-12-22T00:12:36ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662022-06-0181102263Acute gastric volvulus six years after PEG-tube placementJonathan Hencke0Gabriel Nonnenmacher1Steffan Loff2Corresponding author. Kinderchirurgische Klinik, Olgahospital, Kriegsbergstraße 62, D-70174, Stuttgart, Germany.; Department of Pediatric Surgery, Olgahospital, Klinikum Stuttgart, GermanyDepartment of Pediatric Surgery, Olgahospital, Klinikum Stuttgart, GermanyDepartment of Pediatric Surgery, Olgahospital, Klinikum Stuttgart, GermanyGastric volvulus (GV) is a rare condition in children, occurring either acute or chronically, usually requiring surgical treatment. It results from increased gastric mobility due to absent or attenuated gastric ligaments. Known associations exist with diaphragmatic eventration, diaphragmatic hernia, hiatal hernia and asplenia. Cases of GV following gastrostomy are extremely rare; we report the 6th case world-wide. Our patient, an eleven year old girl with cerebral palsy, presented with a fulminant GV and pneumoperitoneum. She underwent emergency laparotomy revealing gastric necrosis and a large perforation. After closing the defect, we performed a scheduled relaparotomy four days later, and resected the remaining clearly marked necrosis, leaving a considerably smaller stomach, but preventing a gastrectomy. With this report, we would like to draw attention to this life-threatening condition and possible complication of gastrostomies.http://www.sciencedirect.com/science/article/pii/S2213576622000902Gastric volvulusPercutaneous endoscopic gastrostomy
spellingShingle Jonathan Hencke
Gabriel Nonnenmacher
Steffan Loff
Acute gastric volvulus six years after PEG-tube placement
Journal of Pediatric Surgery Case Reports
Gastric volvulus
Percutaneous endoscopic gastrostomy
title Acute gastric volvulus six years after PEG-tube placement
title_full Acute gastric volvulus six years after PEG-tube placement
title_fullStr Acute gastric volvulus six years after PEG-tube placement
title_full_unstemmed Acute gastric volvulus six years after PEG-tube placement
title_short Acute gastric volvulus six years after PEG-tube placement
title_sort acute gastric volvulus six years after peg tube placement
topic Gastric volvulus
Percutaneous endoscopic gastrostomy
url http://www.sciencedirect.com/science/article/pii/S2213576622000902
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