Mesentero-axial gastric volvulus treated with laparoscopic gastropexy: a case report
Abstract Background Mesentero-axial gastric volvulus (MAGV) is an uncommon subtype of gastric volvulus (GV). However, reports of such cases in adult patients are very rare. We present an unusual case of idiopathic MAGV in an old woman. Case presentation An 84-year-old woman was referred to the emerg...
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| Language: | English |
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Japan Surgical Society
2023-02-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-023-01596-w |
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| author | Masato Kawahara Tsunehiko Maruyama Yoshiki Kaneko Naoaki Konno Hiroshi Kashimura Tatsuya Oda |
| author_facet | Masato Kawahara Tsunehiko Maruyama Yoshiki Kaneko Naoaki Konno Hiroshi Kashimura Tatsuya Oda |
| author_sort | Masato Kawahara |
| collection | DOAJ |
| description | Abstract Background Mesentero-axial gastric volvulus (MAGV) is an uncommon subtype of gastric volvulus (GV). However, reports of such cases in adult patients are very rare. We present an unusual case of idiopathic MAGV in an old woman. Case presentation An 84-year-old woman was referred to the emergency department for vomiting and abdominal pain. An abdominal computed tomography scan revealed a mesentero-axial gastric volvulus, which could be corrected endoscopically, and the symptoms were relieved. Contrast-enhanced examination was performed before the elective surgery to confirm the presence of short-axis dorsal 180-degree volvulus. The patient underwent laparoscopic surgery on a wait-and-watch basis. After releasing the torsion, the stomach returned to normal position. The gastric fornix was sutured to the left diaphragm and the gastric body and antrum were sutured to the abdominal wall using non-absorbable thread. Symptoms did not flare after the surgery. Conclusions We experienced a rare case of adult MAGV presenting with incomplete obstruction. Laparoscopic gastropexy is useful when gastric decompression is achieved. |
| format | Article |
| id | doaj-art-463b2cb9030048ce8a663704ae2b6bde |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2023-02-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-463b2cb9030048ce8a663704ae2b6bde2025-08-20T03:34:30ZengJapan Surgical SocietySurgical Case Reports2198-77932023-02-01911510.1186/s40792-023-01596-wMesentero-axial gastric volvulus treated with laparoscopic gastropexy: a case reportMasato Kawahara0Tsunehiko Maruyama1Yoshiki Kaneko2Naoaki Konno3Hiroshi Kashimura4Tatsuya Oda5Department of Surgery, Mito Saiseikai General HospitalDepartment of Surgery, Mito Saiseikai General HospitalDepartment of Surgery, Mito Saiseikai General HospitalDepartment of Gastroenterology, Mito Saiseikai General HospitalDepartment of Gastroenterology, Mito Saiseikai General HospitalDepartment of Gastroenterological Surgery, University of TsukubaAbstract Background Mesentero-axial gastric volvulus (MAGV) is an uncommon subtype of gastric volvulus (GV). However, reports of such cases in adult patients are very rare. We present an unusual case of idiopathic MAGV in an old woman. Case presentation An 84-year-old woman was referred to the emergency department for vomiting and abdominal pain. An abdominal computed tomography scan revealed a mesentero-axial gastric volvulus, which could be corrected endoscopically, and the symptoms were relieved. Contrast-enhanced examination was performed before the elective surgery to confirm the presence of short-axis dorsal 180-degree volvulus. The patient underwent laparoscopic surgery on a wait-and-watch basis. After releasing the torsion, the stomach returned to normal position. The gastric fornix was sutured to the left diaphragm and the gastric body and antrum were sutured to the abdominal wall using non-absorbable thread. Symptoms did not flare after the surgery. Conclusions We experienced a rare case of adult MAGV presenting with incomplete obstruction. Laparoscopic gastropexy is useful when gastric decompression is achieved.https://doi.org/10.1186/s40792-023-01596-wGastric volvulusMesentero-axialLaparoscopic gastropexyCase report |
| spellingShingle | Masato Kawahara Tsunehiko Maruyama Yoshiki Kaneko Naoaki Konno Hiroshi Kashimura Tatsuya Oda Mesentero-axial gastric volvulus treated with laparoscopic gastropexy: a case report Surgical Case Reports Gastric volvulus Mesentero-axial Laparoscopic gastropexy Case report |
| title | Mesentero-axial gastric volvulus treated with laparoscopic gastropexy: a case report |
| title_full | Mesentero-axial gastric volvulus treated with laparoscopic gastropexy: a case report |
| title_fullStr | Mesentero-axial gastric volvulus treated with laparoscopic gastropexy: a case report |
| title_full_unstemmed | Mesentero-axial gastric volvulus treated with laparoscopic gastropexy: a case report |
| title_short | Mesentero-axial gastric volvulus treated with laparoscopic gastropexy: a case report |
| title_sort | mesentero axial gastric volvulus treated with laparoscopic gastropexy a case report |
| topic | Gastric volvulus Mesentero-axial Laparoscopic gastropexy Case report |
| url | https://doi.org/10.1186/s40792-023-01596-w |
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