Evidence map›Paper›PMID 38885606›Full record

ArticleInternational journal of surgery case reports2024

Acute gastric volvulus complicated by gastric perforation following laparoscopic Nissen fundoplication; A case report.

Tracy Tushabe Namata, Annanda Nyisomeh Ndamenyi, Ali Henry Bukenya, Lukuman Mukungu, Brian Bbosa

Abstract readCase Reports
In one paragraph

Article in International journal of surgery case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Tracy Tushabe NamataDepartment of Surgery, St. Francis Hospital Nsambya, Kampala, Uganda. Electronic address: namatatracy2@gmail.com.
Annanda Nyisomeh NdamenyiDepartment of Surgery, St. Francis Hospital Nsambya, Kampala, Uganda.
Ali Henry BukenyaDepartment of Surgery, St. Francis Hospital Nsambya, Kampala, Uganda; Uganda Martyrs University, Kampala, Uganda.
Lukuman MukunguDepartment of Surgery, St. Francis Hospital Nsambya, Kampala, Uganda; Uganda Martyrs University, Kampala, Uganda.
Brian BbosaDepartment of Surgery, St. Francis Hospital Nsambya, Kampala, Uganda; Uganda Martyrs University, Kampala, Uganda; Consultant General Surgeon, St. Francis Hospital Nsambya, Kampala, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLaparoscopic Nissen Fundoplication is an effective standard surgical procedure for treatment of severe GERD. While it is generally safe and effective, a rare but potentially fatal complication known as acute gastric volvulus can occur following this procedure. CASE PRESENTATION: A 28-year-old male, ten months post Laparoscopic Nissen Fundoplication presented with a one-day history of severe epigastric pain, abdominal distention, unproductive retching, and difficulty in breathing. Examination revealed tachypnea, subcutaneous emphysema and a tender distended abdomen. Imaging studies showed a left pneumothorax, pneumoperitoneum, and a grossly distended stomach. Emergency exploratory laparotomy confirmed organoaxial gastric volvulus, necrosis of the greater curvature and gastric perforation. Partial gastrectomy and anterior gastropexy were performed. A left thoracostomy tube was placed to drain the left pneumothorax. He recovered fully post-operatively with complete resolution of all symptoms. DISCUSSION: Acute Gastric volvulus post Laparoscopic Nissen Fundoplication is attributed to adhesions, gastrostomy tubes, and foreign bodies like sutures. Life-threatening complications, such as gastric perforation, can ensue, underscoring the need for swift diagnosis and treatment.

conclusionAcute gastric volvulus following Laparoscopic Nissen Fundoplication is a rare condition, and is difficult to diagnose. Given the steadily increasing rates of laparoscopic Nissen fundoplications performed in Uganda, maintaining a high index of suspicion is crucial for favorable patient outcomes among patients with this potentially fatal complication.

Indexed as

Acute gastric volvulusGastric perforationLaparoscopic Nissen FundoplicationPneumothorax

Identifiers

PMID38885606
PMCPMC11228632

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