Gastric Outlet Obstruction Caused by Acute Gastric Volvulus: A Rare Complication of Hiatal Hernia

Abstract

Hiatal hernias are commonly encountered in elderly patients, predisposing patients to the common condition of gastroesophageal reflux disease (GERD). Depending on the size of the hernia, different complications can arise. Large hernias can lead to development of gastric volvulus, obstruction, strangulation, and perforation. Therefore, management of large hiatal hernias is crucial to avoid such complications. In this paper, we describe a patient who presented with acute gastric volvulus secondary to a large hiatal hernia. She improved with conservative management and subsequently underwent successful repair of the hernia. We emphasized the importance of identifying gastric volvulus among its vague presentation for prompt management.

From Silent to Severe: Gastric Perforation Causing Spontaneous Hydropneumothorax Secondary to a Large Hiatal Hernia

“…Large paraesophageal hernias can lead to gastric volvulus, which may cause dysphagia, postprandial pain, ischemia, and, in rare instances, strangulation. Gastric ulceration, gastritis, or erosions within the incarcerated hernia pouch can rarely cause bleeding [8]. In our case, the patient with a history of paraesophageal hernia underwent Nissan's fundoplication for correction.…”