Second-look laparostomy for perforated gangrenous gastric volvulus to prevent total gastrectomy

BMJ Case Reports
Paul K OkenyAli Warsi

Abstract

A 42-year-old Caucasian woman presented to the emergency department with severe upper abdominal pain and vomiting. Clinically, she was septic, and abdominal examination suggested peritonitis. Following immediate resuscitation, the patient was stabilised and underwent urgent contrast-enhanced CT of the abdomen and pelvis. This revealed a mesenteroaxial gastric volvulus with traction on the mesentery and a small volume of free fluid. She underwent laparotomy revealing gangrenous gastric fundus perforation complicated by persistent intraoperative hypotension. This mandated a damage-control approach for the patient's safety entailing a limited-sleeve gastrectomy and laparostomy formation. Stabilisation in the intensive care unit allowed for a safer return to the operating room. On second look 24 hours later, previously ischaemic non-viable-looking portions of the stomach had recovered their blood supply. The patient was discharged 31 days postoperatively after recovering from the operations, postoperative wound infections and pleural effusions.

References

Sep 1, 1978·British Heart Journal·S E Warren, G Dennish
Jul 1, 1980·American Journal of Surgery·R CarterD B Hinshaw
Sep 1, 1995·Gastrointestinal Endoscopy·T K TsangD J Yu
Mar 16, 2000·The British Journal of Surgery·W J TeagueP G Devitt
Dec 21, 2006·Surgical Endoscopy·Chinnusamy PalaniveluRangaswamy Senthilkumar
Jul 7, 2007·Endoscopy·K Kulkarni, J Nagler
Jul 31, 2007·CJEM·W E Sevcik, I P Steiner
Apr 23, 2008·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Mohammed Bani Hani
Nov 11, 2009·International Journal of Surgery·F RashidS Y Iftikhar
Sep 2, 2010·World Journal of Gastroenterology : WJG·Yao-Chun HsuHwai-Jeng Lin
Sep 1, 2012·Revista do Colégio Brasileiro de Cirurgiões·Brett H Waibel, Michael M F Rotondo
Dec 12, 2012·South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie·Ahmed O KrimG Rubin
Jul 9, 2013·Journal of the Korean Surgical Society·Sang-Ho JeongWoo-Song Ha
Dec 18, 2013·World Journal of Emergency Surgery : WJES·Laura GodatRaul Coimbra
Feb 25, 2014·Case Reports in Medicine·Laith H JamilEdy E Soffer
Mar 8, 2014·Journal of Indian Association of Pediatric Surgeons·Ram Mohan ShuklaMalay Bhattacharya
Apr 7, 2015·Journal of the American College of Surgeons·Luke V SelbyVivian E Strong
Aug 14, 2015·World Journal of Emergency Surgery : WJES·Massimo SartelliErnest E Moore
Nov 12, 2016·International Journal of Surgery Case Reports·Toru ZuikiNaohiro Sata
Dec 19, 2016·International Journal of Surgery Case Reports·Basudev KumarAjit Sinha

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