Laparoscopic reduction of an acute gastric volvulus and repair of a hernia of Bochdalek.
We report a case of an acute strangulated gastric volvulus in a hernia of Bochdalek in an adult female patient that was repaired successfully via the laparoscopic approach. A left-sided diaphragmatic hernia contained a strangulated but viable gastric volvulus and a noncompromised colon. The contents of the hernia were reduced, and the 4-cm congenital diaphragmatic defect was primarily repaired with nonabsorbable sutures. The patient was discharged on the second postoperative day and remained symptom-free at 7 months. Unlike the very few previous reports of elective laparoscopic repair of uncomplicated Bochdalek hernias, this appears to be the first report of an urgent laparoscopic repair of a complicated hernia of this type.
Harinath
Gandrasupalli
G
Royal Gwent Hospital, Newport, United Kingdom.
Senapati
Polobody Sibaprasad
PS
Pollitt
Michael John K
MJ
Ammori
Basil J
BJ
D000208:Acute Disease; D000328:Adult; D005260:Female; D006548:Hernia, Diaphragmatic / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D013277:Stomach Volvulus / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed