Pan Afr Med J

. 2022 Jul 27;42:238.

 doi: 10.11604/pamj.2022.42.238.34517. eCollection 2022. https://pubmed.ncbi.nlm.nih.gov/36845232/

[Acute gastric volvulus complicating congenital diaphragmatic hernia in a 3-month-old infant: a case report]

[Article in French]

Takwa Mili ¹, Yosra Ben Ahmed ¹, Intissar Chibani ¹, Tarek Boukesra ¹, Faouzi Nouira ¹, Awatef Charieg ¹, Said Jlidi ¹

Affiliations expand

• PMID: 36845232
• PMCID: PMC9949297
• DOI: 10.11604/pamj.2022.42.238.34517

Free PMC article

Abstract in English, French

Gastric volvulus is a rare mode of revelation of congenital diaphragmatic hernia. This is an uncommon condition that may be difficult to diagnose in the paediatric population. We here report the case of a three-month-old infant presenting with a rapid worsening of acute dyspnoea. Chest X-ray showed image clarity and ascending gastric air sac. Thoraco-abdominal CT scan showed gastric volvulus complicating left congenital diaphragmatic hernia. Surgical treatment consisted of gastric devolvulation followed by complete reduction of the herniated viscera and closure of the diaphragmatic defect. Patient´s outcome was favourable. Congenital diaphragmatic hernia complicated by gastric volvulus should be considered as a diagnostic and therapeutic emergency due to the risk of life-threatening gastric necrosis.

Keywords: Volvulus; case report; child; diaphragm; stomach.

Copyright: Takwa Mili et al.