Gastric Volvulus Secondary to Paraesophageal Hernia Causing Gastric Necrosis and Perforation of the Gastroesophageal Junction

Saleem, Nasir

doi:10.14740/jmc2191w

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…This may be attributed to improvement in diagnostic capacity over the years. When acute volvulus does occur, there is a risk of strangulation which coupled with closed loop obstruction, progressive gastric dilatation and ischaemia may lead to necrosis and perforation 8. Our patient presented with acute gangrenous mesenteroaxial volvulus secondary to hiatus hernia.…”

Section: Discussionmentioning

confidence: 83%

Second-look laparostomy for perforated gangrenous gastric volvulus to prevent total gastrectomy

2018

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A 42-year-old Caucasian woman presented to the emergency department with severe upper abdominal pain and vomiting. Clinically, she was septic, and abdominal examination suggested peritonitis. Following immediate resuscitation, the patient was stabilised and underwent urgent contrast-enhanced CT of the abdomen and pelvis. This revealed a mesenteroaxial gastric volvulus with traction on the mesentery and a small volume of free fluid. She underwent laparotomy revealing gangrenous gastric fundus perforation complicated by persistent intraoperative hypotension. This mandated a damage-control approach for the patient's safety entailing a limited-sleeve gastrectomy and laparostomy formation. Stabilisation in the intensive care unit allowed for a safer return to the operating room. On second look 24 hours later, previously ischaemic non-viable-looking portions of the stomach had recovered their blood supply. The patient was discharged 31 days postoperatively after recovering from the operations, postoperative wound infections and pleural effusions.

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Section: Discussionmentioning

confidence: 83%

Second-look laparostomy for perforated gangrenous gastric volvulus to prevent total gastrectomy

2018

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“…The patient underwent an urgent upper gastrointestinal endoscopy, which indicated a possible hiatal hernia [4,5]. The endoscopic examination also revealed torsion of the stomach, with possible compromised blood supply to the affected area.…”

Section: Treatment and Outcomementioning

confidence: 99%

Gastric Volvulus in a 31-year-old Female: Case Report

2023

Ann Case Report

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Gastric volvulus is a rare condition characterized by abnormal twisting or rotation of the stomach. It is a medical emergency that requires immediate diagnosis and intervention to prevent potential severe complications [1]. In this case of gastric volvulus in a 31-year-old female who presented with acute onset severe abdominal pain, the patient underwent prompt diagnostic evaluation and surgical intervention, resulting in a successful outcome.

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Gastric Volvulus Secondary to Paraesophageal Hernia Causing Gastric Necrosis and Perforation of the Gastroesophageal Junction

Cited by 2 publications

References 10 publications

Second-look laparostomy for perforated gangrenous gastric volvulus to prevent total gastrectomy

Second-look laparostomy for perforated gangrenous gastric volvulus to prevent total gastrectomy

Gastric Volvulus in a 31-year-old Female: Case Report

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