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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Format: | Article |
Language: | English |
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Elsevier
2022-06-01
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Series: | Journal of Pediatric Surgery Case Reports |
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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. |
first_indexed | 2024-12-12T20:44:47Z |
format | Article |
id | doaj.art-4522ba2b98634dc4bd6d6490f117fe8d |
institution | Directory Open Access Journal |
issn | 2213-5766 |
language | English |
last_indexed | 2024-12-12T20:44:47Z |
publishDate | 2022-06-01 |
publisher | Elsevier |
record_format | Article |
series | Journal of Pediatric Surgery Case Reports |
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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