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In a uncommon shell , a girl ’s stomach folded over on itself , leaving her in crippling painfulness for two days and in need of pinch aesculapian intervention .
The 12 - class - quondam girl in Ethiopia had developed a rare and potentially life - threatening circumstance calledgastric volvulus , in which all or part of the belly rotates by more than 180 degrees . This caused her venter to become tender and swollen and stopped her from being able-bodied to pass stools or take a breath right .
After the girl arrived at the emergency department, doctors quickly performed life-saving surgery on her.
Gastric volvulus killsbetween 30 % and 50%of the patients it affect . It can cause the belly to become altogether obstructed , blocking the movement of food through the organ as well as the flow of blood and oxygen to the stomach and back to the philia , which can ensue in tissue death . gob can also form in the folded belly , causing blood and other fluid to leak out . This makes it even firmly for the marrow to pump blood around the body and can also lead to blood poisoning .
In the late case , the little girl come through the painful condition thanks to prompt diagnosis and surgical handling , according to a composition of her fount , publish Jan. 13 in theInternational Journal of Surgery Case Reports .
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First described in 1886 , gastric volvulus is most often diagnosed in people over the age of 50 or in nipper under eld 1 . Although researcher are n’t certain exactlyhow many people experience the precondition , it is believed to be extremely uncommon , with the full turn of report cases runningin the hundred worldwide .
The condition is most usually do by aparaesophageal herniation , in which part of the stomach pushes into the chest cavity through an opening in the stop — the dome - mould muscle that keep going the enlargement and contraction of the chest during external respiration . These hernia , which can be caused bystructural abnormalities during developmentor bytraumatic injuries to the diaphragm , can make the stomachvulnerable to twisting .
In the girl ’s shell , her gastric volvulus resulted from the stomach close up over on itself like a clam shell closing , which fall out in about one - third of patient with stomachal volvulus . Such cases are more likely to be take in in new children and are caused bylooseness in the ligamentsthat unremarkably drop anchor the venter in the belly , the writer write in the case report . Specifically , the ligaments that attached the girl ’s stomach to the horizontal , in-between portion of her declamatory bowel were unsound , they write .
Gastric volvulus is normally name using mental imagery technique , such ascomputed tomography(CT ) scan orX - rays . However , in the fille ’s vitrine , the CT scanner in the hospital was n’t working , the case report authors noted . After initial examination of her venter , doctors rushed the girl straight to the operating field without doing any imaging and diagnose her in the course of study of surgery .
Once name , stomachic volvulus is normally treated by surgicallyuntwisting the stomachand securing it to the abdominal wall to prevent any future folding . In high-pitched - risk case , doctors may also relieve the pressure in a patient role ’s stomach using a tube put in through their nozzle , as was the case with the girl in this paper .
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Six days after her surgery , she was able-bodied to leave the hospital .
This article is for informational purpose only and is not mean to offer medical advice .
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