Bilateral eventration of the diaphragm with perforated gastric volvulus in an adolescent.
J Pediatr Surg
; 35(12): 1824-6, 2000 Dec.
Article
em En
| MEDLINE
| ID: mdl-11101746
ABSTRACT
Bilateral congenital eventration of the diaphragm almost uniformly presents in infancy with respiratory compromise and is associated with a high mortality rate. Delayed presentation of diaphragmatic eventration in older children and adults may be associated with acute gastric volvulus. Thus, any patient with abdominal pain, vomiting, or nonspecific gastrointestinal symptoms in association with abnormal diaphragmatic findings on chest x-ray should undergo further diagnostic workup with upper gastrointestinal series or computed tomography (CT) scan. Treatment of gastric volvulus requires immediate surgical repair to prevent subsequent necrosis and perforation. The authors describe a case report of bilateral congenital diaphragmatic eventration complicated by a perforated gastric volvulus in a 13-year-old boy. Emergent reduction of the volvulus, closure of the perforated stomach, plication of the diaphragm, and placement of gastrostomy was performed successfully.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Volvo Gástrico
/
Eventração Diafragmática
Limite:
Adolescent
/
Humans
/
Male
Idioma:
En
Revista:
J Pediatr Surg
Ano de publicação:
2000
Tipo de documento:
Article
País de afiliação:
Estados Unidos