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Case Reports in Surgery
Volume 2016, Article ID 6450765, 9 pages
Case Report

Wandering Spleen and Organoaxial Gastric Volvulus after Morgagni Hernia Repair: A Case Report and Review of the Literature

1Department of Paediatric Surgery, Spedali Civili Children’s Hospital, Brescia, Italy
2Department of Urology, Policlinico Umberto I, Sapienza University, Rome, Italy
3Department of Emergency Radiology, S. Camillo-Forlanini Hospital, Rome, Italy
4Department of Paediatric Surgery, S. Camillo-Forlanini Hospital, Rome, Italy

Received 12 July 2016; Accepted 18 August 2016

Academic Editor: Robert Stein

Copyright © 2016 Noemi Cantone et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Wandering spleen and gastric volvulus are two rare entities that have been described in association with congenital diaphragmatic hernia. The diagnosis is difficult and any delay can result in ischemia and necrosis of both organs. We present a case of a 13-year-old girl, previously operated on for anterior diaphragmatic hernia and intrathoracic gastric volvulus, that presented to our service for a subdiaphragmatic gastric volvulus recurrence associated with a wandering spleen. In this report we reviewed the literature, analyzing the clinical presentation, diagnostic assessment, and treatment options of both conditions, in particular in the case associated with diaphragmatic hernia.