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Surg Case Rep. 2015 Dec;1(1):5. doi: 10.1186/s40792-014-0005-1. Epub 2015 Jan 16.

Acute gastric volvulus in a patient with trisomy 21.

Surgical case reports

Kota Arima, Daisuke Hashimoto, Noboru Takata, Yasuro Doi, Ichiro Yoshinaka, Kazunori Harada, Hideo Baba

Affiliations

  1. Department of Surgery, Amakusa Regional Medical Center, 854-1 Jikiba, Kameba-machi, Amakusa, Kumamoto, 863-0046, Japan. [email protected].
  2. Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Sciences, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan. [email protected].
  3. Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Sciences, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan. [email protected].
  4. Department of Surgery, Amakusa Regional Medical Center, 854-1 Jikiba, Kameba-machi, Amakusa, Kumamoto, 863-0046, Japan. [email protected].
  5. Department of Surgery, Amakusa Regional Medical Center, 854-1 Jikiba, Kameba-machi, Amakusa, Kumamoto, 863-0046, Japan. [email protected].
  6. Department of Surgery, Amakusa Regional Medical Center, 854-1 Jikiba, Kameba-machi, Amakusa, Kumamoto, 863-0046, Japan. [email protected].
  7. Department of Surgery, Amakusa Regional Medical Center, 854-1 Jikiba, Kameba-machi, Amakusa, Kumamoto, 863-0046, Japan. [email protected].
  8. Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Sciences, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan. [email protected].

PMID: 26943373 PMCID: PMC4747932 DOI: 10.1186/s40792-014-0005-1

Abstract

Acute gastric volvulus is a torsion of the stomach by more than 180° and a life-threatening condition. We present a 50-year-old male patient with acute abdominal pain who has Down syndrome/trisomy 21. Computed tomography showed a significant distended stomach with features of a severe gastric volvulus. Emergency operation in form of reduction and gastropexy was performed. We are not aware of any similar cases published in the English literature, where as gastric volvulus occurred in a patient with Down syndrome.

Keywords: Down syndrome; Emergency operation; Gastric volvulus

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