title: Acute gastric volvulus: an unreported long-term complication of pericardial drainage.
abstract: We report the case of a girl who had tetralogy of fallot (TOF) repaired at birth without any associated diaphragmatic hernia. At the age of 2½ years, she experienced an upper gastrointestinal occlusion. At laparoscopy an organoaxial gastric volvulus was observed related to a peritoneal adhesion secondary to pericardial drainage that had been performed at the time of the TOF repair. After reduction of the volvulus, a phrenofundopexy was done. Postoperatively, the child has remained asymptomatic with a follow-up of 24 months. There are few cases of pericardial drainage complications documented in the literature but none in the pediatric population. Based on this observation, we advise that during pericardial drainage tube placement, the peritoneal cavity be carefully avoided to prevent formation of intra-peritoneal adhesions and the risk of gastric volvulus.
authors.affiliation: Caen University Hospital, Department of Pediatric Surgery, Avenue de la Côte de Nacre, Caen F-14000, France. marion-y@chu-caen.fr
authors.forename: Yoann
authors.initials: Y
authors.lastname: Marion
authors.forename: Julien
authors.initials: J
authors.lastname: Rod
authors.forename: Claire
authors.initials: C
authors.lastname: Dupont-Lucas
authors.forename: Jean Philippe
authors.initials: JP
authors.lastname: Le Rochais
authors.forename: Thierry
authors.initials: T
authors.lastname: Petit
authors.forename: Philippe
authors.initials: P
authors.lastname: Ravasse
mesh_terms: D000208:Acute Disease; D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000379:methods; D002675:Child, Preschool; D004322:Drainage / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D010490:Pericardial Effusion / Q000000981:diagnostic imaging / Q000601:surgery*; D018570:Risk Assessment; D013277:Stomach Volvulus / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D013771:Tetralogy of Fallot / Q000601:surgery; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome