Gastric volvulus associated with congenital diaphragmatic hernia, wandering spleen, and intrathoracic left kidney: CT findings.
We present an unusual case of gastric volvulus associated with wandering spleen, a delayed manifestation of congenital diaphragmatic hernia and left intrathoracic kidney. Gastric volvulus should be considered in any infant with unexplained vomiting and left diaphragmatic anomaly: in these patients, developmental disorders of the peritoneal visceral attachments of the left upper abdomen may coexist. The absence of ligamentous connections between the stomach, posterior abdominal wall, and spleen result in wandering spleen. We emphasize prompt surgical therapy to avoid gastric and splenic necrosis. Radiologic findings and the appearance of this complex congenital malformation are reported.
Pelizzo
G
G
Department of Pediatric Surgery, Arcispedale S. Anna, Corso Giovecca 203, 44100 Ferrara, Italy.
Lembo
M A
MA
Franchella
A
A
Giombi
A
A
D'Agostino
F
F
Sala
S
S
D002648:Child; D005260:Female; D006548:Hernia, Diaphragmatic / Q000000981:diagnostic imaging*; D006801:Humans; D007674:Kidney Diseases / Q000150:complications* / Q000000981:diagnostic imaging*; D013158:Splenic Diseases / Q000150:complications* / Q000000981:diagnostic imaging*; D013277:Stomach Volvulus / Q000150:complications* / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed