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[Gastric volvulus disclosing diaphragmatic hernia].
A case of gastric volvulus resulting from the migration of the stomach and the transverse colon into the right thorax via the Larrey or Morgagni foramen is reported. The anatomy of the Morgagni foramen and a brief description of the resulting hernias is presented. This rare hernia is usually occurs as a complication or during examinations. Surgical treatment is relatively simple via the abdominal route.
[Etiology of transverse gastric volvulus].
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[Congenital diaphragmatic eventration and gastric volvulus].
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[Gastric volvulus and torsion].
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[Gastro-omphalopexys in the cure of gastric volvulus].
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[Radiologic aspects of gastric volvulus].
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Herniation through triple defects of the diaphragm with gastric volvulus.
A rare case of herniation through triple defects in the diaphragm with volvulus of the stomach is reported. Herniation with gastric volvulus was diagnosed preoperatively. Three diaphragmatic defects were detected at surgery. Repair of the defects after reduction of the abdominal contents resulted in an uneventful recovery.
Gastric volvulus--a late complication of gastrostomy.
Two cases of gastric volvulus are reviewed. Both patients were nonverbal, mentally handicapped children, who were fed through a gastrostomy. They had intermittent intolerance to bolus feeds through the gastrostomy, accompanied by abdominal distension and vomiting of gastric contents. One had a previous partial fundoplication and gastrostomy, and the other had had two pyloroplasties and gastrostomy. The axis of torsion ran from the esophagogastric junction to the gastrostomy site. Both children were treated by detorsion and gastropexy. It is postulated that the gastrostomy served as a fixed point for the volvulus. This was facilitated by the chronically dilated stomachs induced by bolus feeds. These two cases are reported to alert the clinician to this possibility when a neurologically impaired child with a gastrostomy presents with feeding difficulties and persistent vomiting.
[Gastric volvulus. Clinical contribution].
After discussing the classification of the various types of gastric volvulus, the aetiopathogenetic factors that occur in this rare stomach pathology are reviewed. The personal series is reported and the clinical, radiological and above all therapeutic aspects connected with the pathology discussed. It is concluded that, in these cases too, the aims to pursue are the formulation of early diagnosis and implementation of quick, correct treatment for the purpose of eliminating the basic pathology and preventing necrosis of the gastric wall setting in.