Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0042961 (volvulus)
 4,305 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

We report a case of acute gastropleural fistula due to gastric perforation after a left lower lobectomy for lung cancer. A 76-year-old male, who received a left hemicolectomy 20 years previously, came to our hospital for surgical treatment of lung cancer, which was performed uneventfully as a left lower lobectomy with combined resection of the diaphragm. On the postoperative day 2, acute dilatation of the stomach followed by gradual cardiopulmonary collapse, and then gastric perforation into the thorax occurred. The perforated stomach wall and diaphragm became paper-thin and necrotic, though the abdominal cavity was free of contamination. This life-threatening condition was treated by an emergency thoracotomy and partial gastrectomy through the thorax, as the left hemidiaphragm was remarkably elevated. An oeganoaxial torsion gastric volvulus caused by anatomic rotation following the lobectomy was speculated as the disease process, with loss of suspended tissue of the gastro-colic ligament from the left hemicolectomy being a possible predisposing factor. Such an episode is rare, however, it should be looked for during perioperative care following a lobectomy.
Interact Cardiovasc Thorac Surg 2005 Oct
PMID:Gastropleural fistula due to gastric perforation after lobectomy for lung cancer. 1767 Apr 47

A rare case of intrathoracic gastric herniation resulting in intermittent gastric volvulus was observed in a 69-year-old female patient five months after left pneumonectomy for lung cancer. The mechanism of post-pneumonectomy intermittent gastric volvulus and the techniques of surgical repair are discussed.
Asian Cardiovasc Thorac Ann 2007 Dec
PMID:A rare complication of pneumonectomy: hiatal hernia associated with gastric volvulus. 1804 80

We report an unusual case of intrapericardial diaphragmatic hernia 2 years after coronary artery bypass surgery with the right gastroepiploic artery. Herniation through the orifice created for the right gastroepiploic artery caused small bowel strangulation and secondary volvulus requiring extensive small bowel resection due to acute mesenteric ischemia. This case highlights the importance of careful operative management of coronary artery bypass surgery with the right gastroepiploic artery and increases awareness of this rare but potentially fatal complication.
Gen Thorac Cardiovasc Surg 2012 Jul
PMID:Diaphragmatic hernia following coronary artery bypass surgery with the right gastroepiploic artery: case report and literature review. 2256 51