Chronic gastric volvulus

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Nadia Maamouri
Héla Kchir
Dhilel Issaoui
Zoubeir Ben Safta
Nabyl Ben Mami

Abstract

Gastric volvulus is an abnormal rotation of the stomach around his axis. The chronic presenting, as the acute one, is considered as a surgical emergency. We report 4 cases of chronic gastic volvulus. In 2 cases, it was a mesenterico-axial volvulus while in the 2 other cases it was an organo-axial volvulus. The barium enema made the diagnosis in all cases. The volvulus was secondary to a hernia in 3 cases and an agenesis of left diaphragmatic dome with ligament laxity in 1 case. All the patients underwent surgery. The laparoscopic approach was used in two patients.

Keywords:

Stomach, volvulus

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References

  1. Bedioui H, BensaftaZ. Gastric volvulus: diagnosis and management. Presse Med 2008; 37: e 67-76
  2. Rantomalala HY, Rajaonarivony T, Rakototiana AF et al. A case of acute gastric volvulus in a child. Arch Pediatr 2005 ; 12: 1726-1728