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Laparoscopic Heller Myotomy in a Patient With Achalasia and Isolated Situs Inversus of the Liver.
Cureus
May 2024
Gastrointestinal Surgery, University of Florida College of Medicine, Jacksonville, USA.
Achalasia is a rare esophageal motility disorder characterized by incomplete lower esophageal sphincter (LES) relaxation, increased LES tone, and absent peristalsis in the esophagus. Management of achalasia includes pneumatic dilation (PD), Botulinum toxin A (BTA) injections to LES, per oral endoscopic myotomy (POEM), and a laparoscopic Heller myotomy (LHM). Situs inversus is a rare congenital condition in which the abdominal and thoracic organs are located in a mirror image of the normal position in the sagittal plane.
View Article and Find Full Text PDFIsolated dextrogastria with eventration of right hemidiaphragm and hiatal hernia in an adult male.
BMC Gastroenterol
February 2022
BreathMAT Lab, Pakistan Institute of Nuclear Science and Technology, Islamabad, Pakistan.
Background: Type 2 isolated dextrogastria in conjunction with protrusion of the right hemidiaphragm and hiatal hernia is an uncommon anomaly among all transpositions of the viscera. Clear diagnosis is not straightforward in such cases both clinically and with various imaging techniques leaving often only laparotomy for diagnosis.
Case Presentation: Here, we discuss the case of a so far asymptomatic 19-year-old male, who had a 3-month history of abdominal pain and 2 days of vomiting with absolute constipation, and reduced air entry in the base of the right lung.
Antenatally diagnosed right-sided stomach (dextrogastria): A rare rotational anomaly.
J Pediatr Surg
February 2016
Department of Paediatric Surgery, University Hospital Southampton Foundation NHS Trust. Electronic address:
Aim: Antenatal detection of right-sided stomach (dextrogastria) is rare, and its significance in regards to intestinal rotation is unclear. We aimed to review all cases of antenatally-diagnosed dextrogastria in our regional fetal medicine unit over 10years.
Methods: A retrospective case-note review of patients identified from a prospectively-maintained database was performed.
Isolated dextrogastria in a newborn.
Arch Dis Child Fetal Neonatal Ed
November 2015
Department of Neonatology, ZNA Middelheim Antwerp, Antwerp, Belgium.
Isolated dextrogastria simulating congenital diaphragmatic hernia: a diagnostic dilemma.
Asian J Surg
January 2010
Department of Radiology, CT and MRI, Base Hospital, Army College of Medical Sciences, Delhi, Cantt, India.
We report eventration of the right hemidiaphragm with isolated asymptomatic dextrogastria in a newborn. The diagnosis of this rare association could not be made clinically or by various imaging techniques. The final diagnosis could only be ascertained at laparotomy.
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