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J Laparoendosc Adv Surg Tech A 2022 Jun 6. Epub 2022 Jun 6.

Department of Pediatric Surgery and Pediatric Minimally Invasive Surgery and New Technologies, San Bortolo Hospital, Vicenza, Italy.

Gastric volvulus (GV) is a rare and life-threatening condition if not promptly diagnosed and treated. Extreme rotation can cause obstruction cutting off blood supply to stomach and distal organs, leading to ischemia and necrosis. It is a clinically significant cause of acute/recurrent abdominal pain and chronic vomiting in children. Read More

Case Rep Gastroenterol 2022 Jan-Apr;16(1):252-257. Epub 2022 Apr 7.

University of Kansas Medical Center, Kansas City, Kansas, USA.

The diagnosis of gastric volvulus can be a clinical challenge as it is rare, and the symptoms are often nonspecific and intermittent. Upper endoscopy is a minimally invasive intervention that may be repeated more than once to provide key information and ultimately establish such a diagnosis. To emphasize the role of upper endoscopy in surgical cases with recurrent upper gastrointestinal obstructions, we present a case of intermittent gastric volvulus in a patient with a remote history of complex chest wall reconstruction for invasive breast cancer using an omental flap. Read More

J Vasc Interv Radiol 2022 May 17. Epub 2022 May 17.

Department of Medical Imaging, University of Arizona, 1501 N. Campbell Avenue, Tucson, AZ 85724.

Purpose: To investigate the feasibility of percutaneous radiofrequency ablation (RFA) to occlude the thoracic duct (TD) in a swine model with imaging and histologic correlation.

Materials And Methods: Six swine underwent TD RFA. Two terminal (4 hours; 1 open, 1 percutaneous) and four survival (30 days; all percutaneous) studies were performed. Read More

Cureus 2022 Mar 16;14(3):e23228. Epub 2022 Mar 16.

Gastroenterology, Staten Island University Hospital - Northwell Health, New York, USA.

Signet ring cell carcinoma (SRCC) is an uncommon and poorly differentiated tumor. It arises mostly in the gastrointestinal tract. The incidence of gastric SRCC has increased in the past few years. Read More

Pediatr Surg Int 2022 Jun 7;38(6):875-881. Epub 2022 Apr 7.

Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.

Purpose: Though gastric volvulus in neonates and infants resolves by conservative therapy and aging, some cases require surgical intervention. This study aimed to review the cases of gastric volvulus requiring surgical intervention and evaluate their characteristics.

Methods: We retrospectively reviewed gastric volvulus cases requiring surgical intervention. Read More

Pediatr Neonatol 2022 Jan 8. Epub 2022 Jan 8.

Department of Surgery, Chang Gung Children's Hospital, College of Medicine, Chang Gung University, Taoyuan, 333, Taiwan. Electronic address:

Pediatr Int 2022 Jan;64(1):e15097

Department of Pediatric General & Urogenital Surgery, Juntendo University School of Medicine, Tokyo, Japan.

Cir Esp (Engl Ed) 2022 03 23;100(3):172. Epub 2022 Feb 23.

Servicio de Cirugía General y Digestiva, Departamento de Cirugía Gastrointestinal, Hospital Clínic de Barcelona, Universitat de Barcelona, Barcelona, Spain.

Tomography 2022 01 21;8(1):245-256. Epub 2022 Jan 21.

Department of Radiology, Infanta Margarita Hospital, 14940 Cabra, Spain.

Background: Gastric volvulus (GV) is a life-threatening emergency condition that prompts emergent surgical management. With the advent of high-resolution computed tomography (CT), the role of radiologists in its diagnosis has become essential. Although many cases of GV have been described in the literature, its pathophysiology is still poorly understood. Read More

Int J Surg Case Rep 2022 Mar 8;92:106819. Epub 2022 Feb 8.

Department of Clinical Surgical Sciences, University of the West Indies, St Augustine, Trinidad and Tobago.

Introduction And Importance: Intestinal Malrotation is an uncommon entity in the adult population; more so in monozygotic twins, where concordance is expected. In literature, discordant intestinal Malrotation has only been discovered when one twin became symptomatic, and the other was screened. To the best of our knowledge, this is the first documented case of discordant adult type intestinal Malrotation in otherwise asymptomatic monozygotic twins discovered incidentally during Laparoscopic Roux-en-Y Gastric bypass (LRYGB). Read More

Cureus 2021 Dec 14;13(12):e20404. Epub 2021 Dec 14.

Emergency Medicine, Envision Physician Services, Plantation, USA.

Acute gastric volvulus is an uncommon emergency department (ED) presentation associated with high mortality from gastric ischemia and perforation. The diagnosis of this pathology is complicated by its intermittent symptoms and similarity in presentation to more common disorders encountered in the ED. Assessing for key risk factors, such as the presence of a hiatal hernia, and the use of expeditious imaging modalities, such as bedside radiography and point-of-care ultrasonography, are essential in rapid diagnosis and time-sensitive, definitive surgical intervention. Read More

BMJ Case Rep 2022 Jan 17;15(1). Epub 2022 Jan 17.

Upper Gastrointestinal Surgery, Austin and Repatriation Medical Centre, Heidelberg, Victoria, Australia.

Spontaneous transdiaphragmatic intercostal hernia is an extremely rare clinical entity featuring dual defects in the diaphragm and chest wall. We report on the case of a 59-year-old man who developed a large left-sided hernia secondary to the minor trauma of a coughing fit. The hernia subsequently enlarged over the course of 3 years until it contained the stomach, leading to a gastric volvulus and tension gastrothorax with secondary pneumothorax. Read More

Int J Surg Case Rep 2022 Jan 5;90:106752. Epub 2022 Jan 5.

Department of Surgery, Al-Mouwasat University Hospital, Syria. Electronic address:

Introduction And Importance: Midgut Malrotation (MM) is a potentially fatal and rare congenital anomaly that results from an incomplete rotation of the bowel 270 degrees around the Superior Mesenteric Axis. Newborns are the most affected age group, nevertheless, adult malrotation can manifest, but in a much rarer incidence rate. Clinical awareness must be present when faced with a surgical abdomen in an adolescent patient because this pathology can have several misleading signs and symptoms which may eclipse the true preoperative diagnosis and masquerade as another, and this could result in implementing a different therapeutic approach. Read More

Prenat Diagn 2022 Feb 4;42(2):192-200. Epub 2022 Jan 4.

Faculty of Medicine, The University of Queensland, Saint Lucia, Queensland, Australia.

Objective: To conduct a review of the literature on foetal volvulus with emphasis on prenatal imaging, pregnancy characteristics and clinical outcomes.

Methods: A review of all published cases of foetal volvulus diagnosed prenatally and indexed in Medline, EBSCOhost, CINAHL, SOCIndex and Healthy Policy Reference Centre. Studies without antenatal sonographic signs of foetal volvulus and without a postpartum surgical diagnosis were excluded. Read More

BMJ Case Rep 2021 Nov 30;14(11). Epub 2021 Nov 30.

Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India

Partial mesentericoaxial gastric volvulus associated with acquired eventration of the left dome of the diaphragm is very rare. We present the case of a 65-year-old man who presented with features of gastric outlet obstruction. He had a prior history of laryngeal cancer for which total laryngectomy was done, and adjuvant radiotherapy was administered. Read More

BMJ Case Rep 2021 Nov 12;14(11). Epub 2021 Nov 12.

Division of Gastroenterology & Hepatology, New York University/Langone Medical Center, New York, New York, USA.

Acute oesophageal necrosis, black oesophagus (BE) or Gurvits syndrome (GS) is a rare form of severe oesophagitis appearing as a striking circumferential discolouration of distal mucosa with various proximal extensions abruptly terminating at the gastro-oesophageal junction. It is most commonly associated with acute exacerbations of medical comorbidities, while associations with altered gut anatomy are rare. We present a unique constellation of BE, Cameron ulcers (CU), and gastric volvulus from a large paraesophageal hiatal hernia. Read More

Ann Med Surg (Lond) 2021 Oct 13;70:102857. Epub 2021 Sep 13.

Department of Radiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Introduction And Importance: Gastric volvulus is the abnormal gastric rotation upon itself. It carries a considerable risk for gastric strangulation which may lead to gangrene and perforation, which can be fatal. It commonly presents with non-specific and vague abdominal symptoms making prompt diagnosis and management imperative. Read More

Medicine (Baltimore) 2021 Oct;100(39):e27389

College of Medicine, QU Health, Qatar University, Doha, Qatar.

Rationale: Peutz-Jeghers syndrome (PJS), a rare autosomal dominant disorder, is characterized by mucocutaneous pigmentations, hamartomatous polyps in the gastrointestinal tract, and a high risk of developing various malignancies. To the best of our knowledge, only 1 case of appendiceal carcinoid associated with PJS has been previously reported in the pediatric population.

Patient Concerns: We report a 7-year-old girl who was admitted for severe, intermittent abdominal pain and cramps, nausea, and vomiting. Read More

JNMA J Nepal Med Assoc 2021 May 25;59(237):506-509. Epub 2021 May 25.

Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal.

Gastric volvulus is defined as an abnormal rotation of the stomach. Classical textbook presentation may not always be present. Meticulous assessment and broadened differential diagnosis are thus crucial. Read More

BMJ Case Rep 2021 Sep 3;14(9). Epub 2021 Sep 3.

Department of Cardiology, Royal North Shore Hospital, St Leonards, New South Wales, Australia.

Adv Surg 2021 09;55:109-122

Department of Surgery, Division of Minimally Invasive Surgery, University of Michigan, 1500 E. Medical Center Dr., Ann Arbor, MI 48109, USA. Electronic address:

Surg J (N Y) 2021 Jul 19;7(3):e124-e126. Epub 2021 Jul 19.

Department of Surgery, Mater Dei Hospital, Msida, Malta.

 Bochdalek's hernia is a type of congenital diaphragmatic hernia occurring secondary to a defect in the posterior attachment of diaphragm. This condition commonly presents with respiratory insufficiency in infants. To date, there are less than 100 cases of Bochdalek's hernia presenting in adults published in the literature. Read More

J Am Med Dir Assoc 2021 03 24;22(3):B3. Epub 2021 Feb 24.

University of Connecticut School of Medicine.

Rev Esp Enferm Dig 2022 Feb;114(2):112-113

Medicina Paliativa, Hospital Universitario Nuestra Señora del Perpetuo Socorro, España.

The case was a 66-year-old female with a diagnosis of bilateral ovarian carcinoma with peritoneal carcinomatosis and liver metastases. She had only undergone one cycle of chemotherapy and could not be given other cycles because of her poor general condition. She was admitted due to intermittent vomiting for a week and severe heartburn, with the last stool passed two days before, presenting abdominal distension and lower abdominal pain, without signs of peritonism and no peristaltic sounds. Read More

Nihon Shokakibyo Gakkai Zasshi 2021 ;118(7):652-660

Department of Gastroenterology, Nagano Chuo Hospital.

Upside down stomach (UDS) is a rare type of hiatal hernia. It is categorized by herniation of either the entire stomach or most of the gastric portion of the stomach into the posterior mediastinum. Acute UDS usually presents with abdominal and thoracic symptoms immediately after the stomach rotates, while chronic UDS often has either mild or no symptoms with the entire stomach rotated in the mediastinum. Read More

BMJ Case Rep 2021 Jun 23;14(6). Epub 2021 Jun 23.

Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.

Gastric volvulus (GV) and wandering spleen (WS) associated with eventration of diaphragm share a common pathological cause of absence or laxity of intraperitoneal ligaments. We herein report a rare case of a 13-year-old child presenting with an acute GV, WS, diaphragmatic eventration and an ectopic ascended kidney managed with a laparoscopic approach. Read More

J Pak Med Assoc 2021 Apr;71(4):1277-1281

Aga Khan University, Karachi, Pakistan.

Gastric volvulus is a rare surgical emergency which is rare in children and occasionally presents in adults. It results due to pathological malrotation of the stomach along its longitudinal or short axis. The condition, if not treated promptly, can result in increased morbidity and carries a high risk of death. Read More

J Equine Vet Sci 2021 07 18;102:103617. Epub 2021 Apr 18.

Department of Veterinary Sciences, University of Turin, Italy.

To resolve large colon impactions, frequent enteral administration of large volumes of water (8-10 liters in a 500 kg horse) has been suggested. Furthermore, in large colon volvulus, the simultaneous presence of gastric impaction has been described as a possible predisposing factor. To describe the clinical and surgical features of horses with large colon volvulus associated with aggressive enteral fluid therapy performed to resolve an initial large colon impaction. Read More

Dig Dis Sci 2021 08 7;66(8):2533-2536. Epub 2021 Jun 7.

Department of Paediatric Surgery, Meyer Children's Hospital, University of Florence, Viale Pieraccini 24, 50139, Florence, Italy.

Introduction: In the setting of intermittent abdominal pain accompanied by gastro-intestinal obstruction, gastric volvulus should be suspected.

Areas Covered: A 10-year-old girl was admitted to our hospital for intermitted abdominal pain associated with recurrent non-bilious vomiting and acute weight loss. The radiological images performed at the district general hospital were reported as negative. Read More

Radiol Case Rep 2021 Jun 14;16(6):1469-1472. Epub 2021 Apr 14.

Radiology Department, Hospital Universitario Marqués de Valdecilla, Avda Valdecilla sn 39008, Santander, Spain.

We present a case of cecal bascule in a 60-year-old woman with abdominal pain and vomiting. Imaging tests revealed a cecal bascule causing mechanic obstruction of the stomach. Besides a small bowel dilatation was not seen, the distended cecum was extrinsically obstructing the antrum and therefore, the gastric outlet. Read More