{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T08:08:13Z","timestamp":1779178093489,"version":"3.51.4"},"reference-count":7,"publisher":"Royal College of Surgeons of England","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"abstract":"<jats:p>Gastric volvulus may present as a surgical emergency due to the risk of rapid deterioration, gastric necrosis and perforation. Undiagnosed congenital diaphragmatic hernia (CDH) is a rare, but established association. We recount four cases in paediatric practice and provide relevant surgical and radiological learning points in the identification and management of this condition.<\/jats:p>\n                  <jats:p>In patients with undiagnosed CDH, acute decompensation may occur secondary to mesenteric-axial gastric volvulus and acute gastric dilatation. Plain radiographs, computed tomography scans and focused ultrasound are important diagnostic modalities and tools for preoperative planning. Nasogastric tube decompression can be a life-saving, stabilising manoeuvre, while surgical repair of the diaphragmatic defect provides definitive management.<\/jats:p>","DOI":"10.1308\/rcsann.2026.0026","type":"journal-article","created":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T07:35:12Z","timestamp":1779176112000},"source":"Crossref","is-referenced-by-count":0,"title":["Gastric volvulus associated with congenital diaphragmatic hernia"],"prefix":"10.1308","author":[{"given":"A","family":"Tahira","sequence":"first","affiliation":[{"name":"Royal Hospital for Children and Young People, Edinburgh","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Dass","sequence":"additional","affiliation":[{"name":"Royal Hospital for Children and Young People, Edinburgh","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Kirby","sequence":"additional","affiliation":[{"name":"Royal Hospital for Children and Young People, Edinburgh","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Middleton","sequence":"additional","affiliation":[{"name":"Royal Hospital for Children and Young People, Edinburgh","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"McCabe","sequence":"additional","affiliation":[{"name":"Royal Hospital for Children and Young People, Edinburgh","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Cullis","sequence":"additional","affiliation":[{"name":"Royal Hospital for Children and Young People, Edinburgh","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","published-online":{"date-parts":[[2026,5,19]]},"reference":[{"key":"C1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1991.01410330108016"},{"key":"C2","doi-asserted-by":"publisher","DOI":"10.1111\/1754-9485.13051"},{"key":"C3","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.12508"},{"key":"C4","doi-asserted-by":"publisher","DOI":"10.1007\/s10140-019-01669-0"},{"key":"C5","first-page":"80","volume":"70","author":"Cardile AP","year":"2011","journal-title":"Hawaii Med J"},{"key":"C6","doi-asserted-by":"publisher","DOI":"10.1007\/s12664-012-0238-5"},{"key":"C7","unstructured":"McGovern Medical School Department of Pediatric Surgery.\n                      Diaphragm defect descriptions for the CDHSG staging system\n                      . https:\/\/med.uth.edu\/pediatricsurgery\/wpcontent\/uploads\/sites\/3\/2024\/02\/CDHSG_Defects_Descriptions.jpg? (cited July 2025)."}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/rcsann.2026.0026","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T07:35:13Z","timestamp":1779176113000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/rcsann.2026.0026"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,19]]},"references-count":7,"alternative-id":["10.1308\/rcsann.2026.0026"],"URL":"https:\/\/doi.org\/10.1308\/rcsann.2026.0026","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,19]]},"article-number":"rcsann.2026.0026"}}