title: Gastric volvulus caused by paraesophageal hernia complicating mid-trimester pregnancy.
abstract: A 36-year-old woman, who was 19 weeks pregnant presented with epigastric pain and a one-week history of repeated vomiting. Endoscopy revealed twisted stomach. CT scan of the chest showed figure of eight stomach consistent with gastric volvulus. Confirmation of diagnosis was made by laparatomy in which reduction of the oedematous stomach and excision of ischemic omental patch and repair of a huge paraesophageal hernia were performed. Two days after operation, abortion took place. Few days later, rapid deterioration in renal and hepatic function occurred followed by maternal death.
authors.affiliation: Department of Obstetrics and Gynecology, King Hussein Medical Center, Amman, Jordan.
authors.forename: Hussein S
authors.initials: HS
authors.lastname: Qublan
authors.forename: Hasan Y
authors.initials: HY
authors.lastname: Malkawi
authors.forename: Aiman Z
authors.initials: AZ
authors.lastname: Smadi
authors.forename: Nayef
authors.initials: N
authors.lastname: Fraywan
mesh_terms: D000328:Adult; D005260:Female; D005313:Fetal Death; D006551:Hernia, Hiatal / Q000150:complications*; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications; D011262:Pregnancy Trimester, Second; D013277:Stomach Volvulus / Q000209:etiology*