Organo-axial volvulus of the stomach with diaphragmatic eventration.
Gastric volvulus occurs when the stomach rotates about its longitudinal axis (organo-axial volvulus), or about an axis joining the lesser and greater curvatures (mesentero-axial volvulus). Primary gastric volvulus, making up one third of cases, occurs when the stabilizing ligaments are too lax as a result of congenital or acquired causes. Secondary gastric volvulus, making up the remainder of cases, occurs in association with a paraesophageal hernia or other congenital or acquired diaphragmatic defects. While gastric volvulus may occur acutely, especially in children, it may not be clinically apparent and discovered incidentally. The authors present a case of chronic organo-axial volvulus of the stomach secondary to left hemidiaphragmatic eventration with a review of the relevant literature.
Lee
J S
JS
Department of Internal Medicine and Radiology, College of Medicine, Pochon CHA University, Korea.
Park
J W
JW
Sohn
J W
JW
Kim
K C
KC
Hwang
S G
SG
Park
P W
PW
Rim
K S
KS
Kim
H J
HJ
D000328:Adult; D003964:Diaphragm / Q000002:abnormalities*; D006801:Humans; D008297:Male; D013277:Stomach Volvulus / Q000209:etiology*