title: Laparoscopic reduction of an acute gastric volvulus and repair of a hernia of Bochdalek.
abstract: 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.
authors.affiliation: Royal Gwent Hospital, Newport, United Kingdom.
authors.forename: Gandrasupalli
authors.initials: G
authors.lastname: Harinath
authors.forename: Polobody Sibaprasad
authors.initials: PS
authors.lastname: Senapati
authors.forename: Michael John K
authors.initials: MJ
authors.lastname: Pollitt
authors.forename: Basil J
authors.initials: BJ
authors.lastname: Ammori
mesh_terms: 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