title: Struggling with a Gastric Volvulus Secondary to a Type IV Hiatal Hernia.
abstract: Type IV hiatal hernias are characterized by herniation of the stomach along with associated viscera such as the spleen, colon, small bowel, and pancreas through the esophageal hiatus. They are relatively rare, representing only about 5%-7% of all hernias, and can be associated with severe complications. We report a 71-year-old veteran wrestler who presented to our department with a type IV paraesophageal hernia containing a gastric volvulus and treated successfully with emergency operation.
authors.affiliation: Surgical Department, Argos General Hospital, 21200 Argos, Greece.
authors.forename: Dafnomilis
authors.initials: D
authors.lastname: George
authors.forename: Pappas V
authors.initials: PV
authors.lastname: Apostolos
authors.forename: Panoutsopoulos
authors.initials: P
authors.lastname: Athanasios
authors.forename: Lagoudianakis E
authors.initials: LE
authors.lastname: Emmanuel
authors.forename: Koronakis E
authors.initials: KE
authors.lastname: Nikolaos
authors.forename: Panagiotopoulos
authors.initials: P
authors.lastname: Nikolaos
authors.forename: Seretis
authors.initials: S
authors.lastname: Charalampos
authors.forename: Karanikas
authors.initials: K
authors.lastname: George
authors.forename: Manouras J
authors.initials: MJ
authors.lastname: Andreas