title: Gastric volvulus with diaphragmatic hernia presenting with unexplained weight loss: a delayed diagnosis.
abstract: Gastric volvulus (GV) is a rare condition that presents with epigastric pain, retching and at times, vomiting. There are two types of GV: organoaxial and mesenteroaxial. We report the case of a 49-year-old woman with chronic mesenteroaxial volvulus with left-sided diaphragmatic defect. She presented with significant weight loss over a period of two years, with nonspecific symptoms of heartburn, occasional mild epigastric pain and anorexia. The patient was diagnosed with barium meal and contrast-enhanced computed tomography imaging. She was treated with open repair of diaphragmatic defect and anterior gastropexy. She was asymptomatic and had gained weight at the six-month follow-up.
authors.affiliation: School of Digestive and Liver Diseases, Seth Sukhlal Karnani Memorial Hospital and Institute of Postgraduate Medical Education and Research, Acharya Jagadish Chandra Bose Road, Kolkata 700020, West Bengal, India. drsupriyo@yahoo.co.in
authors.forename: S
authors.initials: S
authors.lastname: Ghatak
mesh_terms: D015746:Abdominal Pain; D001464:Barium / Q000494:pharmacology; D003287:Contrast Media / Q000494:pharmacology; D057210:Delayed Diagnosis; D005260:Female; D006547:Hernia / Q000473:pathology; D006548:Hernia, Diaphragmatic / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008875:Middle Aged; D013270:Stomach / Q000000981:diagnostic imaging; D013277:Stomach Volvulus / Q000150:complications* / Q000000981:diagnostic imaging; D013997:Time Factors; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D015431:Weight Loss
chemical_list: D003287:Contrast Media; D001464:Barium