Congenital diaphragmatic hernia coexisting with acute intra-thoracicgastric volvulu - A Case report

Abstract

Gastric volvulus, a rare condition in children, is the twisting of the whole or part of the stomach to at least 180º about an axis that causes foregut obstruction with a life-threatening presentation and fatality if prompt diagnosis and intervention are not done. Association of gastric volvulus with congenital diaphragmatic hernia is a rare occurrence because of the temporal differences in their occurrence. Gastric volvulus is a disease of adults, while congenital diaphragmatic hernia is a disease of newborns. We report a case of congenital diaphragmatic hernia coexisting with intra-thoracic gastric volvulus in a 9-year-old girl who had a successful prompt diagnosis and surgical intervention. This report is aimed at showing that coexisting congenital diaphragmatic hernia and gastric volvulus, though a rare phenomenon, occurs in children.