title: [Acute gastric volvulus due to diaphragmatic hernia].
abstract: Gastric volvulus is an uncommon condition which is difficult to diagnose and treat. It designates abnormal rotation of the stomach along its longitudinal (organoaxial) or transverse (mesenteroaxial) axis. When the rotation exceeds 180 degrees, gastric obstruction or strangulation may occur. The classical presentation of acute gastric volvulus is the triad of severe epigastric pain, vomiting followed by retching without the ability to vomit, and difficulty or inability to pass a nasogastric tube. Delay in diagnosis and treatment of gastric volvulus can lead to fatal complications such as gastric ischemia, perforation, and hemorrhage. Gastric volvulus is a true emergency which should be treated immediately either surgically or by upper endoscopy. We report a case of an acute incarcerated gastric volvulus due to a left-sided diaphragmatic hernia in an adult male patient, which was treated successfully by operation.
authors.affiliation: Department of Internal Medicine, Gangneung Asan Medical Center, University of Ulsan College of Medicine, Gangneung-si, Gangwon-do, Korea.
authors.forename: Ju Hee
authors.initials: JH
authors.lastname: Maeng
authors.forename: Hee Sup
authors.initials: HS
authors.lastname: Lee
authors.forename: Jin Gun
authors.initials: JG
authors.lastname: Jang
authors.forename: Bae Gun
authors.initials: BG
authors.lastname: Park
authors.forename: Byung Kyu
authors.initials: BK
authors.lastname: Nah
authors.forename: Yong Ho
authors.initials: YH
authors.lastname: Kim
authors.forename: Sung Moon
authors.initials: SM
authors.lastname: Jung
authors.forename: Gab Jin
authors.initials: GJ
authors.lastname: Cheon
mesh_terms: D000208:Acute Disease; D006548:Hernia, Diaphragmatic / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013277:Stomach Volvulus / Q000175:diagnosis / Q000209:etiology*