Laparoscopic Repair of Intrathoracic Mesenterioaxial Volvulus of the Stomach in an Adult: Report of a Case

Abstract

Intrathoracic gastric volvulus is an uncommon entity, in which the stomach undergoes organoaxial torsion occurring in the chest due to the concomitant presence of an enlargement of the hiatus. We herein report an unusual case of acute intrathoracic mesenterioaxial volvulus of the stomach. Gastric rotation occurred at the transverse axis and the mobile pylorus herniated in the chest through a large hiatal defect. Following a reduction of the volvulus through the use of a nasogastric tube, the patient underwent an elective laparoscopic repair. The mechanisms of volvulus with the relative diagnostic and therapeutic implications are discussed.

Surgical management of hiatus hernia with chronic gastric volvulus: report of two cases

“…C Postoperative barium esophagram. D Postoperative endoscopic fi ndings showed disappearance of esophagitis chronic changes in symptoms are frequently observed, as in our patients, and the passage from the cardia to the upper part of the stomach is well preserved [5]. Endoscopic repositioning is successfully performed in isolated patients.…”

Para-oesophageal and parahiatal hernias in an Asian acute care tertiary hospital: an underappreciated surgical condition

“…Although the numbers are small, this finding suggests that laparoscopic repair may be a feasible option for the treatment of PEH with associated gastric volvulus; this has been reported in other studies. (29,30) A more recent study by Teague et al also showed good results with no mortality in all of their 36 patients, five of which had chronic volvulus that were treated conservatively. (31) It is worth noting that, even though PEH is a rare condition in Asian populations and experience with PEH is limited, there were no mortalities in the present study.…”

Delayed presentation of congenital diaphragmatic hernia manifesting as combined-type acute gastric volvulus: a case report and review of the literature

“…This entity occurs when the stomach rotates into an abnormal position within the chest through the diaphragmatic defect. Increased intraabdominal pressure can then lead to lifethreatening gastric strangulation [27][28][29]. A delay in the diagnosis and treatment may result in fatal consequences.…”