Vólvulo de estómago: una rara causa de obstrucción digestiva alta

Abstract

Gastric volvulus is a rare cause for upper digestive obstruction. It is potentially lethal and requires an urgent treatment. Its low frequency and non specific symptoms result in a late diagnosis, frequently leading to local or systemic complications. Its classic onset shows the Bortchard triad (epigastric pain, retching without vomitting and the impossibility to advance a nasogastric tube) which is observed in 70% of the patients. It is generally associated to anatomic alterations such as the hiatal hernia. A computed tomography scan is essential to complete the etiologic diagnosis. Surgical treatment intended for gastric devolvulation and to prevent recurrences, achieves good results and can be performed through a minimally invasive procedure.It is presented the case of a female patient with a gastric volvulus, diagnosed and treated laparoscopically in our Service.