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Volvulus of the liver with intrathoracic herniation.
- Source :
-
Annals of the Royal College of Surgeons of England [Ann R Coll Surg Engl] 2014 Oct; Vol. 96 (7), pp. e27-9. - Publication Year :
- 2014
-
Abstract
- Introduction: We present a rare case of a liver volvulus, stomach and transverse colon herniating through the diaphragm. This scenario has not been reported previously. We discuss the presentation and management of this interesting case.<br />Case History: A 65-year-old woman with a history of sarcoidosis and recurrent pericardial effusions, treated previously with a subxiphoid pericardial oval window fenestration, presented with acute upper abdominal pain radiating to the chest. High contrast computed tomography showed a volvulus of the liver with consequent venous congestion, and herniation of the liver, stomach and transverse colon through an anterior diaphragmatic defect. With liver perfusion threatened, an urgent laparoscopic repair was performed. The stomach and transverse colon were reduced, and the twisted left lobe of the liver was unrotated and reduced into the abdominal cavity. A double-sided synthetic mesh was used to repair the defect. The patient made an uneventful recovery.<br />Conclusions: This is a novel complication of a patient presenting with abdominal pain with a previous history of pericardial window fenestration. A laparoscopic reduction and repair can be performed safely with excellent postoperative results.
- Subjects :
- Abdominal Pain diagnosis
Abdominal Pain etiology
Aged
Emergency Treatment methods
Female
Follow-Up Studies
Hernia, Diaphragmatic diagnostic imaging
Hernia, Diaphragmatic etiology
Herniorrhaphy methods
Humans
Intestinal Volvulus diagnostic imaging
Laparoscopy methods
Pericardial Effusion diagnostic imaging
Pericardial Effusion surgery
Radiography
Rare Diseases
Stomach Volvulus diagnostic imaging
Treatment Outcome
Hernia, Diaphragmatic surgery
Intestinal Volvulus surgery
Liver
Pericardial Window Techniques adverse effects
Stomach Volvulus surgery
Surgical Mesh
Subjects
Details
- Language :
- English
- ISSN :
- 1478-7083
- Volume :
- 96
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Annals of the Royal College of Surgeons of England
- Publication Type :
- Academic Journal
- Accession number :
- 25245721
- Full Text :
- https://doi.org/10.1308/003588414X13946184903324