Abstract
We report the case of a girl who had tetralogy of fallot (TOF) repaired at birth without
any associated diaphragmatic hernia. At the age of 2½ years, she experienced an upper gastrointestinal occlusion. At laparoscopy an organoaxial
gastric volvulus was observed related to a peritoneal adhesion secondary to pericardial
drainage that had been performed at the time of the TOF repair. After reduction of
the volvulus, a phrenofundopexy was done. Postoperatively, the child has remained
asymptomatic with a follow-up of 24 months. There are few cases of pericardial drainage complications documented in the
literature but none in the pediatric population. Based on this observation, we advise
that during pericardial drainage tube placement, the peritoneal cavity be carefully
avoided to prevent formation of intra-peritoneal adhesions and the risk of gastric
volvulus.
Key words
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References
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Article info
Publication history
Accepted:
July 27,
2012
Received:
June 19,
2012
Footnotes
☆The authors do not report any conflict of interest regarding this work.
Identification
Copyright
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
