Korean J Intern Med.
2000 Jul;15(2):127-130.
Organo-axial volvulus of the stomach with diaphragmatic eventration
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, Pochon CHA University, Korea.
- 2Department of Radiology, College of Medicine, Pochon CHA University, Korea.
Abstract
- Gastric volvulus occurs when the stomach rotates about its longitudinal axis (organo-axial volvulus), or about an axis joining the lesser and greater curvatures (mesentero-axial volvulus). Primary gastric volvulus, making up one third of cases, occurs when the stabilizing ligaments are too lax as a result of congenital or acquired causes. Secondary gastric volvulus, making up the remainder of cases, occurs in association with a paraesophageal hernia or other congenital or acquired diaphragmatic defects. While gastric volvulus may occur acutely, especially in children, it may not be clinically apparent and discovered incidentally. The authors present a case of chronic organo-axial volvulus of the stomach secondary to left hemidiaphragmatic eventration with a review of the relevant literature.
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