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J Med Imaging Radiat Oncol 2020 May 22. Epub 2020 May 22.

Princess Alexandra Hospital, Brisbane, Queensland, Australia.

Acute gastric volvulus is a rare surgical emergency which can lead to severe complications such as gastric ischaemia and perforation. Gastric volvulus is classified by the axis upon which the stomach rotates into organo-axial and mesentero-axial subtypes, with the former more common in adults. We present an uncommon case of recurrent adult mesentero-axial gastric volvulus and describe the associated radiological findings. Read More

Int J Surg Case Rep 2020 11;70:123-125. Epub 2020 May 11.

Department of Pediatric Surgery, Faculty of Medicine, University of Alexandria, Egypt. Electronic address:

Introduction: Acute intrathoracic gastric volvulus occurs when the stomach undergoes organoaxial rotation in the chest due presence of a diaphragmatic defect. Gastric volvulus associated with congenital diaphragmatic hernia is extremely rare and can be explained as 2 of the 4 ligaments supporting the stomach (gastrophrenic and gastrosplenic) which are connected to the left diaphragm may become elongated or absent. According to the current literature, only 27 pediatric cases have been reported so far. Read More

Ann Emerg Med 2020 05;75(5):577-626

Department of Pediatric Surgery, Beaumont Health, Royal Oak, MI; Oakland University William Beaumont School of Medicine, Royal Oak, MI.

Pediatr Radiol 2020 May 23;50(5):673-683. Epub 2020 Jan 23.

Department of Medical Imaging, University of Toronto, Toronto, ON, Canada.

Background: The clinical and plain radiographic differentiation of congenital intrinsic duodenal anomalies (atresia, web, stenosis) from intestinal malrotation is not always clear. Although sonography has been documented as an important diagnostic tool in the differentiation of these two entities, its role is still not widely appreciated and it is still not universally utilized in this clinical setting.

Objective: To assess the usefulness of sonographic features of the duodenal and gastric wall in the differentiation of congenital intrinsic duodenal anomalies from midgut malrotation in a large series of neonates and to compare them with other features on abdominal radiographs, ultrasound and upper gastrointestinal series. Read More

J Am Anim Hosp Assoc 2020 Jan/Feb;56(1):42-47. Epub 2019 Nov 12.

From ACCESS Specialty Animal Hospitals, Culver City, California.

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Am J Case Rep 2019 Oct 18;20:1530-1535. Epub 2019 Oct 18.

Department of Surgery, Iwate Medical University, Morioka, Iwate, Japan.

BACKGROUND Upside-down stomach (UDS) is the rarest type of hiatal hernia (HH), with organoaxial gastric volvulus. A large HH sometimes causes cardiopulmonary impairments owing to multiple factors. CASE REPORT We herein report a case of a large HH with UDS that had induced weight loss and severe cardiopulmonary dysfunction in a 74-year-old female patient who presented with shortness of breath, chest pain, severe anorexia, and weight loss of 5 kg over the 3 previous months. Read More

Ann R Coll Surg Engl 2020 Feb 18;102(2):e39-e41. Epub 2019 Sep 18.

General Surgery Directorate, Aintree University Hospital NHS Foundation Trust, Liverpool, UK.

Approximately 5% of intestinal obstruction cases are caused by internal herniation. Caecal herniation through the foramen of Winslow is considered a rare event. The management of caecal herniation remains challenging due to the lack of literature highlighting this pathology. Read More

Surg Endosc 2020 Apr 12;34(4):1785-1794. Epub 2019 Aug 12.

Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, 1025 Morehead Medical Drive, Suite 300, Charlotte, NC, 28204, USA.

Background: Despite advances in diagnostic imaging capabilities, little information exists concerning the impact of physical dimensions of a paraesophageal hernia (PEH) on intraoperative decision making. The authors hypothesized that computerized volumetric analysis and multidimensional visualization to measure hiatal defect area (HDA) and intrathoracic hernia sac volume (HSV) would correlate to operative findings and required surgical techniques performed.

Methods: Using volumetric analysis software (Aquarius iNtuition, TeraRecon, Inc), HDA and HSV were measured in PEH patients with preoperative computerized tomography (CT) scans, and used to predict the likelihood of intraoperative variables. Read More

BMJ Case Rep 2019 Jul 27;12(7). Epub 2019 Jul 27.

Department of Surgery, University of Chicago Hospital, Chicago, Illinois, USA.

Gastroenterology 2019 12 15;157(6):e11-e12. Epub 2019 Jul 15.

Department of Upper Gastrointestinal Surgery, Southampton General Hospital, Southampton, UK.

BMJ Case Rep 2019 Jul 11;12(7). Epub 2019 Jul 11.

Division of Surgery, National Center for Child Health and Development, Tokyo, Japan.

Abdominal compartment syndrome (ACS) is not rare and has a high mortality in the paediatric intensive care unit. However, there are few reports about this in the emergency department (ED). We report an 8 month-old male patient with ACS in shock associated with gastric volvulus who improved rapidly by a simple procedure in the ED. Read More

JRSM Open 2019 Jun 31;10(6):2054270419851325. Epub 2019 May 31.

Department of Surgery, Brown University, Rhode Island Hospital, Providence 02903, USA.

We report atypical gastric outlet obstruction in a geriatric patient caused by acute mesenteroaxial gastric volvulus precipitated by a wandering spleen. Read More

Radiol Case Rep 2019 Aug 29;14(8):946-951. Epub 2019 May 29.

County Hospital, Kumasi, Ghana.

The concurrence of wandering spleen, organoaxial gastric volvulus, and pancreatic volvulus is very rare. They have been associated with symptoms such as severe abdominal pain, abdominal distention, and vomiting. However, the diagnosis remains complicated and any delay can result in ischemia and necrosis of the organs involved. 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

World J Pediatr 2019 Jun 21;15(3):226-234. 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

Curr Probl Surg 2019 Feb 22;56(2):49-90. Epub 2018 Dec 22.

West Middlesex University Hospital, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.

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

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

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

Dig Endosc 2019 Mar 24;31(2):e38-e39. Epub 2019 Jan 24.

Saiseikai Kanazawa Hospital, Ishikawa, Japan.

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

Magn Reson Med Sci 2019 10 6;18(4):243-244. Epub 2018 Nov 6.

Department of Radiology, Shiga University of Medical Science.

AJR Am J Roentgenol 2019 01 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

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

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

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

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

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

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

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

J Vet Emerg Crit Care (San Antonio) 2018 Jul 15;28(4):346-355. Epub 2018 Jun 15.

Department of Emergency and Critical Care, Angell Animal Medical Center, Boston, MA, 02130.

Objectives: To describe 2 cases of gastric dilatation-volvulus (GDV) in cats. To describe 2 unique clinical settings in which the disease occurs in cats, and to highlight the differences between GDV in cats and dogs.

Case Series Summary: Two neutered female Persian cats were presented for evaluation of respiratory distress. Read More

Obes Surg 2018 09;28(9):2941-2948

Department of Surgery, Morehouse School of Medicine, 720 Westview Dr, SW, Atlanta, GA, 30310, USA.

To review the entity "black esophagus" and sequela of a slipped laparoscopic adjustable band. The patient's history, physical examination, imaging, and endoscopic findings were reviewed. Detailed review of pathophysiology, presentation, diagnosis, management, and natural history was conducted. Read More

Case Rep Gastrointest Med 2018 1;2018:2961063. Epub 2018 Apr 1.

Department of Gastroenterology, New York Medical College at St. Joseph's Regional Medical Center, Paterson, NJ, USA.

Gastric volvulus is an abnormal, potentially life-threatening, torsion of the stomach. The presence of complications such as hemoperitoneum increases the diagnostic urgency; however it can also mask the presentation of gastric volvulus. We encountered a 66-year-old female who presented with symptomatic gastric outlet obstruction and was found to have hemoperitoneum and splenic avulsion on imaging. Read More

BMJ Case Rep 2018 May 15;2018. Epub 2018 May 15.

Surgery and Critical care, Furness General Hospital, Barrow-in-Furness, UK.

A 42-year-old Caucasian woman presented to the emergency department with severe upper abdominal pain and vomiting. Clinically, she was septic, and abdominal examination suggested peritonitis. Following immediate resuscitation, the patient was stabilised and underwent urgent contrast-enhanced CT of the abdomen and pelvis. Read More

Cureus 2018 Mar 12;10(3):e2312. Epub 2018 Mar 12.

Department of Hospital Medicine, Texas Tech University Health Sciences Center.

Gastric volvulus is a rare entity defined as an abnormal rotation of the stomach around itself. It is a diagnosis of exclusion; the clinical index of suspicion is always low and is mostly diagnosed on imaging or on the surgery table. When it occurs, it is an emergency due to the risk of strangulation and consequent gangrene of the stomach. Read More

Int J Surg Case Rep 2018 16;45:45-50. Epub 2018 Mar 16.

Department of General Surgery, B.J. Medical College & Sassoon General Hospital, Near Pune Railway Station, Pune, Maharashtra, 411001, India. Electronic address:

Introduction: Simultaneous occurrence of Morgagni and the Para-esophageal hernia is a rare clinical condition with eight case reports in the English-language literature and only four managed laparoscopically. We describe a case of a Septuagenarian patient with Morgagni and concomitant Para-esophageal hernia treated laparoscopically.

Presentation Of A Case: A 71-year-old male patient, presented with a one-month history of regurgitation of acid, retrosternal burning and vomiting after eating. Read More

J Med Case Rep 2018 Mar 4;12(1):56. Epub 2018 Mar 4.

Wake Forest School of Medicine, Medical Center Blvd, Winston Salem, NC, 27157, USA.

Background: Trisomy 13 is one of the most common autosomal trisomies, and although increasing in number, patients surviving past the neonatal period remain rare. The natural history and expected complications in these patients as they age remains unknown. Despite the rarity of this condition, unusual malignancies have been reported in the medical literature for decades. Read More

Abdom Radiol (NY) 2018 09;43(9):2246-2254

Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA.

Intestinal malrotation is a continuum of congenital anomalies due to lack of rotation or incomplete rotation of the fetal intestine around the superior mesenteric artery axis. The abnormal bowel fixation (by mesenteric bands) or absence of fixation of portions of the bowel increases the risk of bowel obstruction, acute or chronic volvulus, and bowel necrosis. The clinical presentation of patients with malrotation without, with intermittent, or with chronic volvulus can be problematic, with an important minority presenting late or having atypical or chronic symptoms, such as intermittent vomiting, abdominal pain, duodenal obstruction, or failure to thrive. Read More

Folia Med Cracov 2017;57(3):47-55

M. Alexandrou 3B, Pefka, Thessaloniki 57010, Greece.

The aim of the present case study is to raise concern on the proper diagnostic approach of acute gastric volvulus (AGV) cases, in which, the key issue is the timely diagnosis and the prompt therapeutic intervention. After thorough and systematic research of the current literature, it is concluded that early diagnosis remains challenging, while there is no relevant publication with emphasis on the contribution of ultrasonography to the diagnostic documentation of AGV. A 6 years old boy was admitted to our Department due to repeatedly non bilious vomiting and food refusal during the last 72 hours before admission. Read More

BMC Cancer 2017 Nov 29;17(1):801. Epub 2017 Nov 29.

Department of Oncology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China.

Background: Acute gastric volvulus (GV) is a rare disease with high mortality rate often associated with anatomic abnormalities. Thymoma is the most common neoplasm located in the anterior mediastinum. There is no reported relationship between thymoma and GV. Read More

Am J Case Rep 2017 Nov 29;18:1261-1265. Epub 2017 Nov 29.

Assia Medical Group, Tel Aviv, Israel.

BACKGROUND A Bochdalek hernia (BH) is a rare congenital condition consisting of a posterolateral defect in the diaphragm. A para-esophageal hernia (PEH) is a rare variant of hiatus hernia. BH and PEH may present with gastric volvulus or incarceration, requiring emergency treatment. Read More

Gastroenterology 2018 Jan 24;154(1):e1-e2. Epub 2017 Nov 24.

Gastroenterology Department, Centro Hospitalar de Setubal, Setúbal, Portugal.

Int J Surg Case Rep 2017 13;41:366-369. Epub 2017 Nov 13.

1 Hurley Plaza, 7 B Trauma services Flint, Michigan, 48503, USA. Electronic address:

Introduction: Gastric volvulus (GV) is a rare and life threatening condition if not treated promptly or wrongly diagnosed. The main complication of gastric volvulus is foregut obstruction. The extreme rotation can cut off blood supply to the stomach and even distal organs, which can lead to ischemia and necrosis of the affected area. Read More

Rev Esp Enferm Dig 2018 Jan;110(1):59-62

Cirugía General, Hospital Universitario Vall d´Hebron, España.

Background: We have recently demonstrated the feasibility of lengthening the duodenum in children with short bowel syndrome and a dilated duodenum. This procedure gains additional intestinal length in a challenging area of autologous gut reconstruction. Herein, we report the successful application of this technique in an adult with ultra-short bowel syndrome. Read More

Niger J Surg 2017 Jul-Dec;23(2):145-147

Department of Surgery, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.

Gastric volvulus is a rare medical entity that requires high index of suspicion for diagnosis and treatment as it has different implications in terms of clinical presentation, diagnosis, imaging support, pathological behavior, and evaluation. When it presents acutely, it may be easily detected. However, in patients with subacute presentation, symptoms are vague due to episodic twisting and untwisting. Read More

Vet Rec 2017 Nov 19;181(21):563. Epub 2017 Oct 19.

School of Veterinary and Life Sciences, Murdoch University, Murdoch, Western Australia, Australia.

The clinical features and management of food engorgement (FE) in dogs have not been previously described. This retrospective observational study describes characteristics and outcome of 35 dogs with FE, and compares features on presentation to 36 dogs with gastric dilation and volvulus (GDV). Cases were retrospectively reviewed for history, clinical findings and outcome. Read More

J Gynecol Obstet Hum Reprod 2017 May 31;46(5):417-422. Epub 2017 Mar 31.

Université Paris Diderot, université Sorbonne Paris-Cité, 75018 Paris, France; Service de chirurgie digestive, hôpital Louis-Mourier, hôpitaux universitaires Paris-Nord Val de Seine, Assistance publique-Hôpitaux de Paris, 92700 Colombes, France.

Objective: To assess complications and outcomes of pregnancies following laparoscopic abdominal surgery during the second and third trimesters of pregnancy.

Material And Methods: Retrospective single-center study of 23 cases of laparoscopic surgery in the second or third trimesters of pregnancy between January 2005 and May 2016.

Results: The laparoscopies were performed between 15 and 33 weeks of gestation, a mean of 23 weeks+2 days, with 6 cases in the 3rd trimester. Read More