Gastric volvulus associated with congenital diaphragmatic hernia, wandering spleen, and intrathoracic left kidney : CT findings

• Published in: Abdominal imaging Vol. 26; no. 3; pp. 306 - 308
• Main Authors: PELIZZO, G, LEMBO, M. A, FRANCHELLA, A, GIOMBI, A, D'AGOSTINO, F, SALA, S
• Format: Journal Article
• Language: English
• Published: New York, NY Springer 01.05.2001; Springer Nature B.V
• Subjects: Abdomen; Abdominal wall; Biological and medical sciences; Child; Computed tomography; Congenital defects; Digestive system; Female; Hernia; Hernia, Diaphragmatic - diagnostic imaging; Humans; Infants; Investigative techniques, diagnostic techniques (general aspects); Kidney; Kidney Diseases - complications; Kidney Diseases - diagnostic imaging; Medical sciences; Necrosis; Peritoneum; Radiodiagnosis. Nmr imagery. Nmr spectrometry; Spleen; Splenic Diseases - complications; Splenic Diseases - diagnostic imaging; Stomach; Stomach Volvulus - complications; Stomach Volvulus - diagnostic imaging; Tomography, X-Ray Computed; Vomiting; Splenic disease; Kidney; Hernia; Respiratory muscle; Gastric disease; Human; Kidney disease; Stomach; Volvulus; Urinary system disease; Radiodiagnosis; Congenital; Respiratory disease; Wandering spleen; Thorax; Case study; Concomitant disease; Malformation; Abdominal disease; Adolescent; Digestive diseases; Medical imagery; Computerized axial tomography; Diaphragm; Ectopia
• ISSN: 0942-8925; 2366-004X; 1432-0509; 2366-0058
• DOI: 10.1007/s002610000171

We present an unusual case of gastric volvulus associated with wandering spleen, a delayed manifestation of congenital diaphragmatic hernia and left intrathoracic kidney. Gastric volvulus should be considered in any infant with unexplained vomiting and left diaphragmatic anomaly: in these patients, developmental disorders of the peritoneal visceral attachments of the left upper abdomen may coexist. The absence of ligamentous connections between the stomach, posterior abdominal wall, and spleen result in wandering spleen. We emphasize prompt surgical therapy to avoid gastric and splenic necrosis. Radiologic findings and the appearance of this complex congenital malformation are reported.