Acute Gastric Volvulus Secondary to Malrotation of Gut in a Child with Cerebral Palsy
نویسندگان
چکیده
Acute gastric volvulus secondary to malrotation of gut is a rare surgical emergency. We report a case of an eight years old cerebral palsy (CP) child who presented to us with sudden upper abdominal distension and non productive retching. X-ray abdomen revealed a huge gas shadow on left side of abdomen with paucity of distal gas shadows. On exploration organoaxial gastric volvulus with gastric ischemia, secondary to malrotation of gut, was found. Volvulus derotated and Ladd's procedure was done. Gastropexy and fundoplication was not done due to gastric ischemia. Early diagnosis and surgical management can save the patient from fatal complications of gastric perforation due to gastric ischemia.
منابع مشابه
A Case of Cecal Volvulus Presenting with Chronic Constipation in Lissencephaly
Cecal volvulus is uncommon in pediatric patients and there are few reports of cecal volvulus with cerebral palsy. Here, we report the case of a 19-year-old male patient who presented with abdominal distension, a history of cerebral palsy, refractory epilepsy due to lissencephaly, and chronic constipation. An abdominal x-ray and computed tomography without contrast enhancement showed fixed dilat...
متن کاملGastric volvulus complicating cerebral palsy with kyphoscoliosis.
Acute gastric volvulus is a life-threatening condition associated with abnormalities of the stomach, surrounding viscera or spatial anatomy such as hiatus hernia (Millar et al, 1991). Our report of gastric volvulus highlights an aetiological association with severe secondary kyphoscoliosis. As cerebral palsy is the commonest cause of physical disability in paediatric patients, with high surviva...
متن کاملSegmental volvulus of small intestine: report of a case with an innovative method of surgery
Absract Intestinal malrotation is a general term used for any deviation from normal embryonic GI tract rotations. This abnormality, denotes a spectrum of conditions (non rotation, incomplete rotation) that according to the severity of anatomic consequence, can result in complications found in infancy, childhood, adolescence, adulthood or old age. This article, reports another case of intest...
متن کاملFactors Which Affect the Depression of Mothers with Cerebral Palsy Child
Objectives: The high number of cerebral palsy, the severe disability of this disorder, depression in disabilities, and long lasting effects of the child`s disability on the family especially mothers are the common issues. The purpose of this study was investigating the level of depression in mothers with cerebral palsy children and its related factors. Methods: This caused comparative study ...
متن کامل[Surgical treatment of rare combination of intestinal malrotation with secondary lymphangiectasia].
The rare combination of intestinal lymphangiectasia with malrotation of the duodenum in a child of three months of life is described. Basing on the literature review only 3 similar cases were described in the world practice. The boy with protein-losing enteropathy was examined at Moscow Scientific Centre of Children's Health. The child had vomiting, diarrhea, loss in body weight, hypoproteinemi...
متن کامل