title: Gastric wall necrosis from organo-axial volvulus as a late complication of laparoscopic gastric banding.
abstract: We present a case of massive gastric wall necrosis associated with volvulus of the stomach occurring 17 months after laparoscopic gastric banding. The 19- year-old female was admitted to our hospital with acute abdominal pain with rapid deterioration from massive necrosis of a distended stomach which perforated distal to the gastric band, accompanied by splenic infarction. Total gastrectomy and spenectomy were required. We present this very rare complication which should be recognized and treated early, so that a less drastic operation is possible.
authors.affiliation: Department of Surgery, University of Studies, Trieste, Italy.
authors.forename: Marina
authors.initials: M
authors.lastname: Bortul
authors.forename: Monica
authors.initials: M
authors.lastname: Scaramucci
authors.forename: Cinzia
authors.initials: C
authors.lastname: Tonello
authors.forename: Arrigo
authors.initials: A
authors.lastname: Spivach
authors.forename: Gennaro
authors.initials: G
authors.lastname: Liguori
mesh_terms: D000328:Adult; D005260:Female; D015391:Gastroplasty / Q000009:adverse effects*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D009336:Necrosis; D013270:Stomach / Q000473:pathology*; D013277:Stomach Volvulus / Q000209:etiology*; D013997:Time Factors