[Acute gastric volvulus due to diaphragmatic hernia].
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.
Maeng
Ju Hee
JH
Department of Internal Medicine, Gangneung Asan Medical Center, University of Ulsan College of Medicine, Gangneung-si, Gangwon-do, Korea.
Lee
Hee Sup
HS
Jang
Jin Gun
JG
Park
Bae Gun
BG
Nah
Byung Kyu
BK
Kim
Yong Ho
YH
Jung
Sung Moon
SM
Cheon
Gab Jin
GJ
D000208:Acute Disease; D006548:Hernia, Diaphragmatic / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013277:Stomach Volvulus / Q000175:diagnosis / Q000209:etiology*