Hiatus hernia with gastric volvulus and duodenum component: a case report

Abstract

Gastric volvulus is a rare condition defined as an abnormal stomach rotation around its axis, which usually presents in children under a year or in adults in their fifth decade. Cases over 70-year-old are rare and only 30% of cases of this disease present with mesenteric-axial rotation of the stomach. In this article, we report a rare case of mesenteroaxial gastric volvulus associated with hiatal hernia, in an 88-year-old woman, who presented to the Emergency Department of our institution with bowel obstruction symptoms. The diagnosis could be difficult due to the rarity of the pathology, the patient's age outside the expected incidence age range and the less common mesenteroaxial presentation. This report highlights the importance of the differential diagnosis of gastric volvulus as a cause of intestinal obstruction.

Bowel volvulus in the chest after an esophagectomy: an uncommon type IV hiatal hernia

“…The last include distal colonic obstruction, adhesions, inflammatory strictures, carcinoma and malposition of the colon following previous surgery. It can be combined with an enlarged diaphragmatic hiatus [ 3 ]. In a retrospective review of 2182 esophagectomy patients, the risk of a hiatal hernia was <1%, with a higher rate after minimally invasive esophagectomy (MIE) compared with an open approach (2.8 vs. 0.8%).…”

“…Type IV hernia can be associated with severe complications such as intrathoracic incarceration of the stomach, bleeding, perforation and intestinal volvulus. The volvulus can commonly appear in the sigmoid (60–75%) and the cecum (25–40%), being unusual at the level of the transverse colon [ 3 ].…”

Laparoscopic Surgical Treatment of Hiatal Hernia with Gastric Volvulus: Report of a Case

“…Surgical emergency treatment provides the reduction of the migrated stomach with the excision of the hernia sac [11]. Since the introduction of prosthetic mesh reinforcement is overall accepted that reduced the risk of recurrences [12]. Collis-Nissen procedure may be necessary due to the presence of oesophageal shortening [13].…”

X-ray diagnostics of the chronic gastric volvulus: a series of cases

“…Заворот желудка (ЗЖ) впервые был описан Berti в 1886 году и может встречаться в любом возрасте [1][2][3]. Важную роль в развитии заворотов играют заболевания диафрагмы [4][5][6], перигастрит, язвенная болезнь желудка, гастроптоз, атония желудка, рубцовая деформация и опухоли желудка [7]. Развитие заворота могут спровоцировать обильная еда, рвота, травмы живота, физическая нагрузка [8].…”