Open Access
CC BY 4.0 · European J Pediatr Surg Rep. 2018; 06(01): e48-e51
DOI: 10.1055/s-0038-1666795
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Neonatal Intrathoracic Gastric Volvulus in Marfan's Syndrome

Javier Serradilla
1   Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, Spain
,
Alba Bueno
1   Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, Spain
,
Carlos De La Torre
1   Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, Spain
,
Eduardo Alonso Gamarra
2   Department of Radiology, Hospital Universitario La Paz, Madrid, Spain
,
Martha Muñoz Romo
1   Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, Spain
,
Francisco de Borja Nava Hurtado de Saracho
1   Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, Spain
,
María Álvarez Barrial
1   Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, Spain
,
Manuel Gomez Cervantes
1   Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, Spain
,
Manuel Lopez Santamaria
1   Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, Spain
› Author Affiliations
Further Information

Publication History

02 May 2017

24 May 2018

Publication Date:
13 July 2018 (online)

Preview

Abstract

We report a 12-day-old male who was admitted with vomiting because of an unusual early complication of Marfan's syndrome (MS): a sliding hiatal hernia. Initial ultrasound showed no stomach at its normal position and the chest X-ray presented an intrathoracic gas bubble with the nasogastric tube inside. An upper gastrointestinal contrast study confirmed the complete herniation of the stomach into the thorax. Via an exploratory laparotomy it was carefully reintroduced into the abdomen, following a hiatal reconstruction. A Thal fundoplication and a gastrostomy were also performed to guarantee its fixation. Although characterized by cardiac/aortic abnormalities, MS should be considered in any infant with hiatal/paraesophageal hernia, which should be repaired early to avoid gastric ischemia/volvulus.