title: A case of acute mesentero-axial gastric volvulus in a patient with a diaphragmatic hernia: experience with a laparoscopic approach.
abstract: Gastric volvulus is an uncommon but serious surgical condition mandating an early diagnosis and surgical intervention. It may present either acutely or chronically with epigastric pain, retching and vomiting. There are two types of gastric volvulus: organo-axial and mesentero-axial. We report a case of a mesentero-axial gastric volvulus in a 49-year-old woman with a left-sided diaphragmatic hernia. She presented with a significant epigastric pain and vomiting. A flexible upper endoscopy, a barium meal and a contrast-enhanced computed tomography imaging had confirmed the diagnosis. She was treated with a laparoscopic mesh repair of the diaphragmatic defect followed by a gastropexy. She had an uneventful postoperative course and was asymptomatic thereafter.
authors.affiliation: Department of Internal Medicine, Al-Amiri Hospital, Kuwait City, Kuwait.
authors.forename: Dalal
authors.initials: D
authors.lastname: Al-Faraj
authors.affiliation: Department of Surgery, Al-Amiri Hospital, Kuwait City, Kuwait.
authors.forename: Mohanned
authors.initials: M
authors.lastname: Al-Haddad
authors.affiliation: Department of Surgery, Al-Amiri Hospital, Kuwait City, Kuwait.
authors.forename: Omar
authors.initials: O
authors.lastname: Al-Hadeedi
authors.affiliation: Department of Surgery, Al-Amiri Hospital, Kuwait City, Kuwait dr_saud_@hotmail.com.
authors.forename: Saud
authors.initials: S
authors.lastname: Al-Subaie