Search Our Scientific Publications & Authors

GMS Interdiscip Plast Reconstr Surg DGPW 2019 25;8:Doc04. Epub 2019 Mar 25.

Department for General, Visceral, Vascular, Thoracic and Pediatric Surgery, Kempten Clinic, Kempten, Germany.

We report the case of a 65-year-old male patient with massive epigastric pain of sudden onset and vomiting due to an organoaxial volvulus of the stomach. We comment on the surgical management in our case and discuss etiology and therapeutic options of this rare entity. Read More

Tokai J Exp Clin Med 2019 Apr 20;44(1):5-8. Epub 2019 Apr 20.

Department of Gastroenterology and Hepatology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan.

A 95-year-old man was admitted to the hospital due to a sudden onset of nausea and abdominal pain. Physical examination revealed abdominal distension with mild epigastric tenderness. Computed tomography showed a grossly distended stomach with displacement of the antrum above the esophago-gastric junction, and he was diagnosed with acute mesentero-axial gastric volvulus. Read More

Int J Surg Case Rep 2019 Mar 30;57:126-129. Epub 2019 Mar 30.

Department of Surgery, Iwamizawa Municipal Hospital, 068-8555, Iwamizawa-shi, Japan.

Introduction: Gastric volvulus (GV) is defined as a rotation of the stomach along its short or long axis leading to variable degrees of gastric outlet obstruction. Rotation of the stomach >180° may cause closed loop obstruction and possible strangulation, which often causes acute abdominal pain. Strangulation and gangrene of the twisted stomach sometimes occurs, which demands immediate surgical intervention. Read More

World J Pediatr 2019 Mar 21. Epub 2019 Mar 21.

Department of Pediatric Surgery, Chelsea Children's Hospital, Chelsea and Westminster NHS Foundation Trust, Imperial College London, London, United Kingdom.

Background: Gastric volvulus (GV) in children is a rare condition. This study reviewed management and outcomes of GV in the pediatric population.

Methods: MEDLINE/PubMed, Embase, and Google Scholar databases were searched for studies in English regarding GV in patients < 18 years old between 2008 and 2017, selected by two reviewers. Read More

J Am Anim Hosp Assoc 2019 May/Jun;55(3):152-159. Epub 2019 Mar 14.

From Clinique Veterinaire Alliance, Bordeaux, France (C.D.); and Center Hospitalier Vétérinaire Fregis, Acrueil, France (H.H., C.B., G.R., E.G., C.P.).

Read More

Tierarztl Prax Ausg K Kleintiere Heimtiere 2019 Feb 26;47(1):25-35. Epub 2019 Feb 26.

Klinik für Heimtiere, Reptilien, Zier- und Wildvögel, Stiftung Tierärztliche Hochschule Hannover.

Aim: The aim of this study was to present an overview of the gastric dilatation-volvulus syndrome in guinea pigs.

Material And Methods: Four cases of gastric dilatation-volvulus syndrome in guinea pigs were evaluated. Its clinical presentation, diagnostic options, therapeutical approach and possible alternatives thereof were discussed. Read More

J Surg Case Rep 2019 Feb 19;2019(2):rjz042. Epub 2019 Feb 19.

Penn Medicine Princeton Medical Centre, Bariatric and Metabolic Surgery, Suite 275, 5 Plainsboro road, Plainsboro, NJ 08536, USA.

Internal hernias (IH) are one of the dreadful complications of laparoscopic Roux En Y gastric bypass (LGBP). Commonly reported internal hernias (IH) following Roux En Y gastric bypass (LGBP) in the literature are meso-colic, meso jejunal and Peterson's space hernias. These patients may not have any definitive symptoms. Read More

N Z Vet J 2019 May 11;67(3):138-142. Epub 2019 Mar 11.

a Faculty of Veterinary and Agricultural Sciences , University of Melbourne , Werribee , Australia.

Aim: To compare the concentration of faecal cytokines interleukin (IL)-6, -8, -10, and tumour necrosis factor (TNF)-α in dogs with acute diarrhoea with clinically normal (non-diarrhoeic) dogs.

Methods: A total of 14 dogs presenting with acute diarrhoea, and 25 dogs with no history of gastrointestinal signs in the 2 months prior to enrolment, were recruited from two veterinary hospitals in Melbourne, Australia. Concentrations of IL-6, -8, -10, and TNF-α were measured in faecal samples using canine-specific ELISA. Read More

Kobe J Med Sci 2019 Jan 11;64(4):E157-E159. Epub 2019 Jan 11.

Department of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.

Fetal intestinal volvulus is a rare condition, and fetal diagnosis of this disease is still challenging, especially in primary cases not accompanied by other comorbidities, such as intestinal malformations. Herein, we report a case of fetal primary small bowel volvulus associated with acute gastric dilatation detected by ultrasonography. We speculate that the mechanism of acute gastric dilatation in our case was peristatic malfunction of the whole intestine caused by a strangulated ileus resulting from fetal intestinal volvulus. Read More

Surg Case Rep 2019 Feb 4;5(1):19. Epub 2019 Feb 4.

Department of Pediatric Surgery, Shizuoka Children's Hospital, 860 Urushiyama, Aoi, Shizuoka City, Shizuoka, 420-8660, Japan.

Background: Mesentero-axial gastric volvulus (MAGV) is a rare but critical condition as delay in treatment can lead to lethal situations. Although the report of the surgical treatment with laparoscopic approach for MAGV has recently come to be seen, no standard procedures have been established. We aim to describe our operative technique of single-incision laparoscopic gastropexy (SILG) for MAGV and review the relevant literature to ascertain the most appropriate treatment option in these patients. Read More

Can Vet J 2019 Feb;60(2):174-178

Departament de Medicina i Cirurgia Animal, Facultat de Veterinària de la UAB, Campus UAB Universitat Autònoma de Barcelona Bellaterra (Cerdanyola del Vallès), Barcelona 08193, Spain.

A case of distal renal tubular acidosis occurring as a transient complication in a 13-year-old female greyhound dog with gastric-dilatation-volvulus was diagnosed. The acute renal ischemia and inflammatory condition associated with this syndrome could be considered the main underlying mechanisms responsible for the acute, severe, and complicating renal tubular dysfunction. Read More

ANZ J Surg 2019 Jan 24. Epub 2019 Jan 24.

Department of Surgery, Tamworth Hospital, Tamworth, New South Wales, Australia.

Surg Obes Relat Dis 2019 01 28;15(1):98-108. Epub 2018 Nov 28.

The Dumont UCLA Transplant Center, Division of Liver and Pancreas Transplantation, Department of Surgery, David Geffen School of Medicine at the University of California at Los Angeles, Los Angeles, California. Electronic address:

Background: Though intestinal failure (IF) after bariatric surgery (BS) is uncommon, its prevalence is increasing. However, data on the outcomes for these patients are limited.

Objectives: To analyze the outcomes of treatment for patients with IF after BS. Read More

Emerg Radiol 2019 Apr 14;26(2):221-225. Epub 2019 Jan 14.

The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, 601 N Caroline St, Room 4223, Baltimore, MD, 21287, USA.

Gastric volvulus is a rare entity with a spectrum of acute and chronic clinical presentations. Body radiologists must be cognizant of the subtypes of gastric volvulus and identify potential complications. Mortality can be high if unrecognized from gastric necrosis, perforation, and sepsis. Read More

Chirurgia (Bucur) 2018 Nov-Dec;113(6):765-771

Purpose/Aim: Paraesophageal hiatus hernias are seldom found, however the incidence is increasing accounting for 5-10% of all hiatal hernias. The aim of this review is to emphasize controversies in clinical presentation, essential workup investigations and highlight non-surgical and surgical management options. A PubMed literature search using the keywords "large or giant paraesophageal hernia", "hiatus or hiatal hernia", "laparoscopic surgery", "antireflux surgery", "mesh", "gastric volvulus" and "diaphragmatic hernia" published between 1998 until 2017 was conducted. Read More

Int J Surg Case Rep 2018 24;53:461-463. Epub 2018 Nov 24.

King Fahad Hospital of the University, Department of Surgery, College of Medicine, University of Imam Abdurahman Bin Faisal, Saudi Arabia.

Introduction: With the rising worldwide obesity epidemic, bariatric surgeries are gaining popularity as the most effective modality for achieving long term results in weight loss and reducing its metabolic sequels.

Case Presentation: A 36-year-old female presented with a sudden onset of severe abdominal pain for 6 h. The patient underwent Mini gastric bypass (MGB) 2 years prior to presentation. Read More

Acta Medica (Hradec Kralove) 2018;61(3):108-110

Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, University of Delhi, Delhi, India.

Bochdalek hernia (BH) in an adult may manifest clinically with a myriad of abdominal or chest symptoms or a combination of them. Diagnosis of an adult BH is usually delayed in view of rarity of the lesion and its varied presentation. A 30-year-old adult gentleman presented to us with a left thoracostomy which was draining pus and ingested food particles. Read More

Ann Med Surg (Lond) 2018 Dec 13;36:231-234. Epub 2018 Nov 13.

Department of Surgery, University Hospital Hairmyres, NHS Lanarkshire, East Kilbride, G75 8RG, Scotland, UK.

Introduction: Unexplained lactic acidosis (LA) in a critically ill patient often prompts investigations to rule out any reversible intra-abdominal cause. Equivocal results can lead to an emergency laparotomy (EL) with subsequent high morbidity and mortality rates. Our objective was to determine the clinical impact of urgent diagnostic laparoscopy (UDL) in such patients. Read More

J S Afr Vet Assoc 2018 Nov 6;89(0):e1-e5. Epub 2018 Nov 6.

Department of Companion Animal Clinical Studies, University of Pretoria.

A 12-year-old spayed Newfoundland bitch was presented with chronic non-productive vomiting, regurgitation and coughing of six weeks' duration. On clinical examination, the dog was depressed with no other significant findings. Haematology and biochemistry investigations detected no abnormalities. Read More

J Indian Assoc Pediatr Surg 2018 Oct-Dec;23(4):216-218

Department of Anesthesiology, All India Institute of Medical Sciences, New Delhi, India.

Congenital intestinal malrotation has a wide spectrum of presentation varying from incidental detection to recurrent episodes of benign abdominal pain to frank gastrointestinal obstruction, mid-gut volvulus, and bowel gangrene. Herein, we report the first case of congenital intestinal malrotation leading to gastric deserosalization. Intraoperative findings were conspicuous by the presence of midgut volvulus and gastric perforation in the posterior wall. Read More

Tunis Med 2018 Jun;96(6):393-396

Gastric volvulus is an abnormal rotation of the stomach around his axis. The chronic presenting, as the acute one, is considered as a surgical emergency. We report 4 cases of chronic gastic volvulus. Read More

Open Vet J 2018 29;8(2):219-223. Epub 2018 Jun 29.

Oklahoma State University, College of Veterinary Health Sciences, 2065 W Farm Rd, Stillwater, OK 74078, USA.

Chronic gastric instability (CGI) is part of the gastric dilatation and volvulus (GDV) complex and contributes to the pathophysiologic mechanism of volvulus. Clinical signs can be attributed to a flaccid and mobile stomach. This manuscript reviews the literature regarding CGI and presents a case where computerized tomography is utilized in combination with abdominal radiography to diagnose CGI in an 8 year old spayed female Great Dane. Read More

Surg Endosc 2018 Nov 7. Epub 2018 Nov 7.

Department of Oesophago-Gastric Surgery, Royal Infirmary Edinburgh, 51 Little France Crescent, Old Dalkeith Road, Edinburgh, EH16 4SA, UK.

Introduction: There are limited data regarding long-term outcomes after surgical repair of giant paraoesophageal hiatus hernia (GPHH). The aim of this study was to assess symptomatic recurrence and patient-reported outcomes following GPHH repair.

Methods: 178 patients undergoing elective (127) and emergency (51) GPHH repair between 1994 and 2015 were identified from the prospectively collected Lothian Surgical Audit database. Read More

Magn Reson Med Sci 2018 Nov 6. Epub 2018 Nov 6.

Department of Radiology, Shiga University of Medical Science.

AJR Am J Roentgenol 2019 Jan 7;212(1):103-108. Epub 2018 Nov 7.

1 Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110.

Objective: The objective of this study was to identify CT findings and determine interobserver reliability of surgically proven gastric volvulus.

Materials And Methods: This single-center retrospective study included 30 patients (21 women, nine men; mean age, 73 years old) with surgically proven gastric volvulus who underwent preoperative CT and 31 age- and sex-matched control subjects (21 women, nine men; mean age, 74 years old) with large hiatal hernias who were imaged for reasons other than abdominal pain. Two blinded radiologists reviewed the CT images and recorded findings of organoaxial and mesenteroaxial gastric volvulus and ischemia. Read More

Can J Vet Res 2018 Oct;82(4):271-277

Koret School of Veterinary Medicine Department of Emergency and Critical Care, Hebrew University of Jerusalem, Jerusalem, Israel 76100 (Oron, Klainbart, Bruchim, Kelmer, Saar); Faculty of Veterinary Medicine, Veterinary Clinical and Diagnostic Sciences, University of Calgary, Calgary, Alberta T2N 1N4 (McMurray, Boysen).

Gastric dilatation and volvulus (GDV) is a life-threatening condition, suspected to result in differential tissue perfusion in different regions of the body. Lactate is a biomarker of hypoperfusion that correlates with treatment outcomes in dogs with GDV. This prospective observational study aimed to compare lactate between saphenous and cephalic venous samples in 45 client-owned dogs with GDV, to evaluate their association with treatment outcomes (survival, surgical complications, and duration of hospitalization) and to assess the correlation between lactate and other biochemical parameters. Read More

Ann R Coll Surg Engl 2019 Mar 16;101(3):162-167. Epub 2018 Oct 16.

Upper Gastrointestinal Surgical Unit, Guy's and St Thomas' NHS Foundation Trust, London, UK , London , UK.

Background: Diaphragmatic and hiatus hernias can cause mild chronic symptoms or have an acute presentation with gastric volvulus and obstruction. Elective or emergency surgery is indicated in symptomatic patients and nowadays is generally performed laparoscopically.

Methods: We report four different types of hernias: a giant hiatus hernia following a gastric pull-up for recurrent congenital diaphragmatic hernia; a Bochdalek hernia in a pregnant young woman; concomitant hiatus and Morgagni hernias; and a giant hiatus hernia occupying the right chest. Read More

Vet Radiol Ultrasound 2019 Mar 11;60(2):136-144. Epub 2018 Oct 11.

The Royal (Dick) School of Veterinary Studies and Roslin Institute, The University of Edinburgh, Roslin, EH25 9RG, UK.

Gastric pneumatosis is an imaging finding defined as the presence of gas foci in the gastric wall. In humans, this imaging feature can result from one of two separate clinical entities: life-threatening emphysematous gastritis or clinically benign gastric emphysema. This retrospective case series study describes the clinical and imaging features in five animals diagnosed with spontaneous gastric pneumatosis without gastric dilatation-volvulus. Read More

Vet Surg 2018 Nov 10;47(8):1087-1093. Epub 2018 Oct 10.

Small Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.

Objective: To compare cutaneous wound closure with mesh and 2-octyl cyanoacrylate (MOC) vs an intradermal suture pattern (ISP) in terms of time of application and biomechanical properties.

Sample Population: Experimental study with 12 female beagle dogs.

Methods: A skin incision was created from the xiphoid to the pubis as part of an ovariohysterectomy; the linea alba and subcutaneous tissue were closed routinely. Read More

Ann R Coll Surg Engl 2019 Jan 5;101(1):e1-e4. Epub 2018 Oct 5.

First Department of Surgery, National and Kapodistrian University of Athens, Laikon University Hospital , Athens , Greece.

Gastric tube conduit is the method of choice for restoring continuity of the digestive track after a partial or total esophagectomy. Redundant gastric conduit (i.e. Read More

Vet Surg 2018 Nov 1;47(8):1080-1086. Epub 2018 Oct 1.

Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, Wisconsin.

Objective: To compare the bursting strength and failure mode of ventral midline celiotomy closed with a simple continuous suture pattern with 1 of 2 knot combinations, a novel self-locking knot combination of a forwarder start with an Aberdeen end knot (F-A) and a traditional combination of a surgeon's start with a surgeon's end knot (S-S).

Study Design: Ex vivo experimental.

Sample Population: Equine cadavers (n = 14). Read More

Cir Pediatr 2018 Aug 3;31(3):153-157. Epub 2018 Aug 3.

Hospital Guillermo Grant Benavente. Facultad de Medicina, Universidad de Concepción. Chile.

Introduction: Gastric volvulus is a rare cause of acute abdomen in childhood, and it is usually a casual finding. We present the case of a girl with mesenteroaxial gastric volvulus, which was initially treated by endoscopic approach.

Clinical Case: 8 year-old patient, diagnosed of Down syndrome, who presented sudden and diffuse colic pain, associated with vomiting, sialorrhea and progressive compromise. Read More

Vet Surg 2018 Nov 23;47(8):1094-1100. Epub 2018 Sep 23.

University Clinic of Small Animal Surgery, Department for Companion Animals and Horses, University of Veterinary Medicine, Vienna, Austria.

Objective: To evaluate the penetration depth (VNPD) of 2 disposable Veress needles (VN) at 4 insertion sites in the abdomen.

Study Design: Descriptive study.

Sample Population: Canine cadavers (n = 22, 6 for confirmation of the test methods and 16 for the comparative study). Read More

Surg Clin North Am 2018 Oct 31;98(5):973-993. Epub 2018 Jul 31.

Division of Trauma, Emergency General Surgery and Critical Care Surgery, Department of General Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE 68198-3280, USA.

Intestinal volvulus, regardless of location, is a rare disease process, but one that requires high suspicion and timely diagnosis given the increased incidence of intestinal necrosis and potential mortality. Most patients with intestinal volvulus require some form of surgical intervention. However, over the last few decades, the work-up and management of intestinal volvulus has changed given constant advancements in technology and patient care. Read More

Eur J Pediatr Surg 2019 Feb 18;29(1):68-74. Epub 2018 Sep 18.

Department of Paediatric Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.

Introduction:  With improvements in prenatal ultrasound, more abdominal enteric duplication cysts (EDCs) are diagnosed prenatally. The optimal time for operative intervention is unclear. We aimed to review the evidence supporting the indication and timing of surgery for prenatally diagnosed EDCs. Read More

PLoS One 2018 18;13(9):e0204216. Epub 2018 Sep 18.

Department of Veterinary Medical Sciences, University of Bologna, Ozzano dell' Emilia (BO), Italy.

This study evaluated the association between a selection of candidate predictor variables, including the elevation of specific pancreatic enzymes, and outcome in dogs with gastric dilatation-volvulus (GDV). Twenty-two dogs with gastric dilatation-volvulus were included, being classified as survivors or non-survivors based on the final outcome. Dogs with intestinal obstruction (n = 16) were selected for comparison. Read More

Surg Obes Relat Dis 2018 Dec 16;14(12):1914-1915. Epub 2018 Aug 16.

Department of General Surgery and Associated Subspecialties, Sydney Adventist Hospital (SAH), Wahroonga, Sydney, Australia.

J Surg Case Rep 2018 Sep 11;2018(9):rjy241. Epub 2018 Sep 11.

Department of Surgery, University of Florida, Gainesville, FL, USA.

Cecal volvulus is the rotation of a mobile cecum resulting in a large bowel obstruction. We present the case of a 55-year-old female who underwent a roux-en-y gastric bypass in 2003 and presented to the emergency department with worsening abdominal pain, distention and obstipation. Roentgenogram demonstrated a 14 cm colon suggestive of sigmoid volvulus, but CT scan showed rectal contrast abruptly ending in the distal transverse colon, mesenteric swirling and a distended cecum, consistent with cecal, rather than sigmoid, volvulus. Read More

J Am Vet Med Assoc 2018 Oct;253(7):877-885

OBJECTIVE To identify risk factors for mesenteric volvulus (MV) in military working dogs (MWDs). DESIGN Retrospective case-control study. ANIMALS 211 MWDs (54 with and 157 without MV [case and control dogs, respectively]). Read More

BMJ Case Rep 2018 Sep 12;2018. Epub 2018 Sep 12.

Infectious Diseases, Hospital Universitari Son Espases, Palma de Mallorca, Spain.

Case Rep Infect Dis 2018 14;2018:6125215. Epub 2018 Aug 14.

Mission Hospital, Asheville, NC, USA.

Leprosy, or Hansen's disease, is caused by infection with . It is a rare diagnosis within the continental United States. We present the case of a 13-year-old immigrant from the Marshall Islands who presented with recurrent nausea, vomiting, and abdominal pain which are found to be due to intermittent gastric volvulus. Read More

BMC Surg 2018 08 29;18(1):67. Epub 2018 Aug 29.

Department of General Surgery, Dow University of Health Sciences, Civil Hospital Karachi, Karachi, Pakistan.

Background: Morgagni's hernia (MH) is a rare type of congenital diaphragmatic hernia with limited available literature. Late presentations are infrequent and the ones complicated due to gastric volvulus are even rarer. Another uncommon association of MH is with small bowel diverticulosis. Read More

J Surg Case Rep 2018 Aug 22;2018(8):rjy227. Epub 2018 Aug 22.

Department of Surgery B, Coimbra Hospital and University Center, Praceta Prof. Mota Pinto, 3000-075 Coimbra, Portugal.

Gastric volvulus is an uncommon cause of gastric obstruction. It can be classified as primary when no underlying condition is identified as the cause for the rotation. An acute presentation includes typical symptoms and is frequently detected by imaging studies. Read More

BMJ Case Rep 2018 Aug 23;2018. Epub 2018 Aug 23.

Department of Paediatrics, KK Women's and Children's Hospital, Singapore, Singapore.

A 10-month-old girl, with spondyloepiphyseal dysplasia congenita and posterior cleft palate had presented at 23 days of life with history of feeding difficulties. A diagnosis of oropharyngeal dysphagia and gastro-oesophageal reflux disease was made, for which she was started on nasogastric tube feeding and oral ranitidine. However, she continued to have poor development of oropharyngeal skills, persistent reflux as well as poor growth and was planned for gastrostomy at 10 months of age. Read More

Forensic Sci Med Pathol 2019 03 4;15(1):136-139. Epub 2018 Aug 4.

Institute of Forensic Medicine, University of Belgrade - School of Medicine, 31a Deligradska str, Belgrade, 11000, Serbia.

Two cases of intestinal obstruction in the mentally disabled are reported. The first case concerns 61-year-old oligophrenic woman who resided in a nursing home, where she was found hypotensive and unresponsive. Upon opening the peritoneal cavity at autopsy, extremely dilated (measuring on average 12 cm in diameter) loops of the colon emerged- they compressed the small intestine and other intraperitoneal organs, lifting both hemidiaphragms deep into the pleural cavity. Read More

BMC Med Genet 2018 07 27;19(1):131. Epub 2018 Jul 27.

Department of Pediatrics, Seoul National University Children's Hospital, 101 Daehak-Ro, Jongno-Gu, Seoul, 03080, South Korea.

Background: Galloway-Mowat syndrome (GAMOS) is a rare hereditary renal-neurological disease characterized by early-onset steroid-resistant nephrotic syndrome in combination with microcephaly and brain anomalies. Recently, novel causative mutations for this disease have been identified in the genes encoding the four KEOPS subunits: OSGEP, TP53RK, TPRKB, and LAGE3.

Case Presentation: We detected a novel homozygous TP53RK mutation (NM_033550, c. Read More

J Am Anim Hosp Assoc 2018 Sep/Oct;54(5):239-245. Epub 2018 Jul 24.

From Clinica Veterinaria Lago Maggiore, Dormelletto, Italy (L.F.); and Ospedale Veterinario Gregorio VII, Rome, Italy (M.T.D.).

Gastropexy is a surgical technique performed to prevent and decrease the recurrence rate of gastric dilatation and volvulus (GDV). The objective of this prospective, a descriptive cohort study on 100 client-owned dogs who were presented with GDV, is to describe a modified belt-loop gastropexy and determine its intraoperative complications and long-term efficacy. The transversus abdominis muscle was used to make an oblique belt-loop. Read More

Gastrointest Endosc 2018 11 19;88(5):878-880. Epub 2018 Jul 19.

Department of Gastroenterology, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, China; Institute of Gastroenterology, Zhejiang University, Hangzhou, Zhejiang, China.

Gastroenterol Hepatol 2018 Dec 18;41(10):652-653. Epub 2018 Jul 18.

Gastroenterology and Hepatology Unit, Hospital Ramon y Cajal, Madrid, Spain.

BMJ Case Rep 2018 Jul 19;2018. Epub 2018 Jul 19.

Department of Emergency Medicine, Emergency Medicine Research Center (Al-Zahra Research Institute), Isfahan University of Medical Sciences, Isfahan, Iran.

Pneumatosisintestinalis (PI) is a radiological finding with about 0.03% incidence and incompletely understood pathogenesis. We report a case of PI with a rare presentation of pneumoperitoneum that underwent diagnostic surgery and finally diagnosed by midgut malrotation and antral stenosis. Read More