Congenital Diaphragmatic Hernia Coexisting With Acute Intrathoracic Gastric Volvulus

Abstract

Gastric volvulus, a rare condition in children, is the twisting of the whole or part of the stomach to at least 180° about an axis, causing foregut obstruction with a life-threatening presentation and fatality if prompt diagnosis and intervention are not done. Association of gastric volvulus with congenital diaphragmatic hernia is a rare occurrence because of the temporal differences in their occurrence. This is because whereas gastric volvulus is a disease seen in adults, congenital diaphragmatic hernia is a disease seen in newborns. We report a case of congenital diaphragmatic hernia coexisting with intrathoracic gastric volvulus in a 9-year-old girl who had a successful prompt diagnosis and surgical intervention.