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South African Journal of Surgery

On-line version ISSN 2078-5151
Print version ISSN 0038-2361

S. Afr. j. surg. vol.50 n.4 Cape Town Nov. 2012

 

CASE REPORT

 

Predisposing factors for developing gastric volvulus and the role of imaging

 

 

A O KrimI; S AndronikouII; G RubinIII

IMB ChB. Department of Urology, Stellenbosch University and Tygerberg Hospital, Tygerberg, Western Cape
IIMB ChB, FCRad, FRCR (Lond), PhD. Department of Urology, Stellenbosch University and Tygerberg Hospital, Tygerberg, Western Cape
IIIMB BCh, FCRad (Diag) (SA), MMed. Department of Urology, Stellenbosch University and Tygerberg Hospital, Tygerberg, Western Cape

Correspondence

 

 


ABSTRACT

Two cases of gastric volvulus are presented to highlight the predisposing factors, mechanism and different types of volvulus, and the role of imaging in making the diagnosis.
Eventration of the diaphragm and hiatus hernia are precipitating factors for developing organo-axial and mesentero-axial volvulus. Imaging is key to making the diagnosis and distinguishing the types of volvulus in order to decide on management.


 

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REFERENCES

1. Shah NN, Mohsin M, Khursheed SQ. Eventration of diaphragm with gastric volvulus: a case report. Cases Journal 2008;1:404. [http://dx.doi.org/10.1186%2F1757-1626-1-404]        [ Links ]

2. Ghatak S. Gastric volvulus with diaphragmatic hernia presenting with unexplained weight loss: a delayed diagnosis: a case report. Singapore Med J 2011;52:e4-e6.         [ Links ]

3. Peterson CM, Anderson JS, Hara AK, Carenza JW, Menias CM. Volvulus of the gastrointestinal tract: Appearances at multimodality imaging. Radiographics 2009;29:1281-1293. [http://dx.doi.org/10.1148%2Frg.295095011]        [ Links ]

4. Shivanand G, Seema S, Srivastava DN. Gastric volvulus: Acute and chronic presentation. Clinical Imaging 2003;27:265-268. [http://dx.doi.org/10.1016%2FS0899-7071%2802%2900549-1]        [ Links ]

5. Kotobi H, Auber F, Otta E. Acute mesenteroaxial gastric volvulus and congenital diaphragmatic hernia. Pediatr Surg Int 2005;21:674-676. [http://dx.doi.org/10.1007%2Fs00383-005-1437-2]        [ Links ]

 

 

Correspondence:
A O Krim
(krim6224@yahoo.com)

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