title: [Hiatal hernia with intrathoracic gastric volvulus as a rare cause of biliary obstruction].
abstract: Gastric volvulus can complicate paraesophageal hiatal hernia. Acquired gastric torsion results in acute or chronic gastrointestinal symptoms. Biliary complications are possible but exceptional. A case of asymptomatic diaphragmatic hiatal hernia with intrathoracic gastric volvulus presenting as a cholestatic syndrome secondary to stretching and tension of the common bile duct in the diaphragmatic hiatus is reported. This observation emphasizes the possibility of direct relationship between two otherwise frequent diagnostics: hiatal hernia and biliary obstruction. Only one similar case has been reported to date.
authors.affiliation: Service des Maladies de l'Appareil Digestif, Hôpital Saint-André, Bordeaux.
authors.forename: H
authors.initials: H
authors.lastname: Lamouliatte
authors.forename: P H
authors.initials: PH
authors.lastname: Bernard
authors.forename: P
authors.initials: P
authors.lastname: Lefebvre
authors.forename: A
authors.initials: A
authors.lastname: Boulard
authors.forename: J C
authors.initials: JC
authors.lastname: Arnal
authors.forename: J
authors.initials: J
authors.lastname: Saric
authors.forename: A
authors.initials: A
authors.lastname: Quinton
mesh_terms: D002758:Cholangiography; D002763:Cholecystectomy; D001651:Cholestasis, Extrahepatic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006551:Hernia, Hiatal / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013277:Stomach Volvulus / Q000150:complications* / Q000601:surgery
vernacular_title: Hernie hiatale avec volvulus intrathoracique: une cause rare d'ictère obstructif.