Gastric Malrotation Relieved by Pleural Effusion Drainage ()
ABSTRACT
Mr M., 55-year-old, with
metastatic adenocarcinoma of lung (stage IV) was admitted to the hospital after an earlier visit to oncology, where
he presented with abdominal pain and distention suspected of having ascites for
the first time. After performing abdominal CT and gastric passage film, it was hypothesized that clinical manifestation
was related to gastric malrotation. The latter was forced by the huge left pleural
effusion. Draining the pleural effusion may be complicated by a trapped lung,
an adverse effect where the lung does not expand post drainage. After
considering the palliative therapeutic options the effusion was drained, the
stomach recoiled to its anatomical position, gastric malrotation was relieved,
and the patient resumed oral nutrition. Though gastric malrotation due to a huge,
malignant left pleural effusion is rare, it should be considered as more
patients are being treated for lung cancer.
Share and Cite:
Dori, G. , Hazzan, R. and Kushner, G. (2014) Gastric Malrotation Relieved by Pleural Effusion Drainage.
Case Reports in Clinical Medicine,
3, 203-206. doi:
10.4236/crcm.2014.34047.
Cited by
No relevant information.