Masabarakiza, Jean Bosco and Zhu, Lingna and Gorur, Yilmaz and Cardos, Benoît and Lorenzo-Villalba, Noel and Ali, Deeba (2021) An Unusual Case of Acute Dyspnoea: Acute Intrathoracic Gastric Volvulus with Probable Tension Gastrothorax. European Journal of Case Reports in Internal Medicine, 8 (10). pp. 1-4. ISSN 2284-2594
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Abstract
Acute gastric volvulus is a rare complication affecting 4% of hiatal hernias. It is described as an abnormal rotation of the stomach around a transverse or longitudinal axis and can be intra-abdominal or intrathoracic. Intrathoracic gastric volvulus can lead to tension gastrothorax, which is defined as the presence of a massive gastric distension in the chest cavity causing a mediastinal shift with haemodynamic instability and a risk of cardiorespiratory arrest. We report a case of intrathoracic gastric volvulus with probable tension gastrothorax. Early diagnosis of gastrothorax with computed tomography and immediate insertion of a nasogastric tube resulted in rapid clinical improvement. Surgical intervention is the treatment of choice.
| Item Type: | Article |
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| Uncontrolled Keywords: | Volvulus gastric, hiatal hernia, gastrothorax |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) |
| Depositing User: | Marina Spanti |
| Date Deposited: | 17 Feb 2022 12:10 |
| Last Modified: | 17 Feb 2022 12:10 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/21731 |
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