Gastric Volvulus and Wandering Spleen: A Rare Surgical Emergency
Author(s) -
Georgios D. Lianos,
Konstantinos Vlachos,
Nikolaos A. Papakonstantinou,
Christos Katsios,
Georgios Baltogiannis,
Dimitrios Godevenos
Publication year - 2013
Publication title -
case reports in surgery
Language(s) - English
Resource type - Journals
eISSN - 2090-6900
pISSN - 2090-6919
DOI - 10.1155/2013/561752
Subject(s) - wandering spleen , retching , medicine , gastric volvulus , volvulus , surgery , vomiting , stomach , differential diagnosis , general surgery , surgical emergency , rare disease , spleen , splenectomy , gastroenterology , disease , pathology
Gastric volvulus is a rare but potentially life-threatening clinical entity due to possible gastric necrosis. A wandering spleen may also be associated with gastric volvulus. Patients presenting with the triad epigastralgia, vomiting followed by retching, and difficulty or inability to pass a nasogastric tube into the stomach are likely to have gastric volvulus. The operating surgeon should include this rare entity in the differential diagnosis when dealing with a patient with such a clinical profile. Herein, we present a case of gastric volvulus associated with a wandering spleen in a 28-year-old Caucasian woman and we provide a brief review of the literature on this issue.
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