Acute Gastric Volvulus on Hiatal Hernia

The gastric volvulus is defined as an abnormal rotation of all or part of the stomach around one of its axes, creating the conditions of an upper abdominal obstruction with gastric dilation and risk of strangulation. It is a rare entity that requires a surgical treatment, and its diagnosis is often...

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Main Authors: Abdessamad EL KAOUKABI, Mohamed MENFAA, Samir HASBI, Fouad SAKIT, Abdelkrim CHOHO
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2020/4141729
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author Abdessamad EL KAOUKABI
Mohamed MENFAA
Samir HASBI
Fouad SAKIT
Abdelkrim CHOHO
author_facet Abdessamad EL KAOUKABI
Mohamed MENFAA
Samir HASBI
Fouad SAKIT
Abdelkrim CHOHO
author_sort Abdessamad EL KAOUKABI
collection DOAJ
description The gastric volvulus is defined as an abnormal rotation of all or part of the stomach around one of its axes, creating the conditions of an upper abdominal obstruction with gastric dilation and risk of strangulation. It is a rare entity that requires a surgical treatment, and its diagnosis is often delayed due to frequently aspecific symptoms. We will describe the observation of a 62 year old patient who presented to the emergency department for acute epigastric pain with dyspnea. The thoracoabdominal CT has demonstrated a stasis stomach on pyloric obstacle evoking a gastric torsion. An upper gastrointestinal endoscopy (EGD) and an upper gastrointestinal contrast made it possible to diagnose an acute gastric volvulus on hiatal hernia. A midline laparotomy was performed with detorsion of the stomach and repair of the hiatal hernia. The patient recovered gradually and was discharged on the sixth postoperative day. Three months after the operation, the patient remained asymptomatic.
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institution Kabale University
issn 2090-6900
2090-6919
language English
publishDate 2020-01-01
publisher Wiley
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series Case Reports in Surgery
spelling doaj-art-2347e7cfb14b4feca7bb09cb366c8be22025-02-03T05:52:34ZengWileyCase Reports in Surgery2090-69002090-69192020-01-01202010.1155/2020/41417294141729Acute Gastric Volvulus on Hiatal HerniaAbdessamad EL KAOUKABI0Mohamed MENFAA1Samir HASBI2Fouad SAKIT3Abdelkrim CHOHO4General Surgery, Moulay Ismail Military Hospital, MoroccoGeneral Surgery, Moulay Ismail Military Hospital, MoroccoGeneral Surgery, Moulay Ismail Military Hospital, MoroccoGeneral Surgery, Moulay Ismail Military Hospital, MoroccoGeneral Surgery, Moulay Ismail Military Hospital, MoroccoThe gastric volvulus is defined as an abnormal rotation of all or part of the stomach around one of its axes, creating the conditions of an upper abdominal obstruction with gastric dilation and risk of strangulation. It is a rare entity that requires a surgical treatment, and its diagnosis is often delayed due to frequently aspecific symptoms. We will describe the observation of a 62 year old patient who presented to the emergency department for acute epigastric pain with dyspnea. The thoracoabdominal CT has demonstrated a stasis stomach on pyloric obstacle evoking a gastric torsion. An upper gastrointestinal endoscopy (EGD) and an upper gastrointestinal contrast made it possible to diagnose an acute gastric volvulus on hiatal hernia. A midline laparotomy was performed with detorsion of the stomach and repair of the hiatal hernia. The patient recovered gradually and was discharged on the sixth postoperative day. Three months after the operation, the patient remained asymptomatic.http://dx.doi.org/10.1155/2020/4141729
spellingShingle Abdessamad EL KAOUKABI
Mohamed MENFAA
Samir HASBI
Fouad SAKIT
Abdelkrim CHOHO
Acute Gastric Volvulus on Hiatal Hernia
Case Reports in Surgery
title Acute Gastric Volvulus on Hiatal Hernia
title_full Acute Gastric Volvulus on Hiatal Hernia
title_fullStr Acute Gastric Volvulus on Hiatal Hernia
title_full_unstemmed Acute Gastric Volvulus on Hiatal Hernia
title_short Acute Gastric Volvulus on Hiatal Hernia
title_sort acute gastric volvulus on hiatal hernia
url http://dx.doi.org/10.1155/2020/4141729
work_keys_str_mv AT abdessamadelkaoukabi acutegastricvolvulusonhiatalhernia
AT mohamedmenfaa acutegastricvolvulusonhiatalhernia
AT samirhasbi acutegastricvolvulusonhiatalhernia
AT fouadsakit acutegastricvolvulusonhiatalhernia
AT abdelkrimchoho acutegastricvolvulusonhiatalhernia