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Chronic mesenteroaxial gastric volvulus and congenital diaphragmatic hernia: successful laparoscopic repair (Abstract)

Borkar NB, Pant N, Ratan S, Kumar A, Aggarwal SK

Maulana Azad Medical College, New Delhi, India

 

Abstract

Gastric volvulus is a rare cause of acute abdomen in children. Usually it is associated with diaphragmatic pathology. Traditional treatment of gastric volvulus has been derotation and gastropexy with the anterior abdominal wall. We report a case of 9 year old boy presented with recurrent abdominal pain and vomiting. Investigations confirmed a volved stomach in the left chest and a left diaphragmatic hernia. Laparoscopic reduction and repair of diaphragmatic hernia was performed successfully. The stomach was devolved and reduced into the abdomen. No gastropexy was performed. The patient is asymptomatic two year after surgery. Our case shows that gastropexy may not be needed in all cases. Also this is perhaps the first case to undergo laparoscopic repair of CDH and gastric volvulus in pediatric population.

 

Key words: gastric volvulus, congenital diaphragmatic hernia, laparoscopic repair.

 

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