title: [Urgent surgical treatment of gastric volvulus related to upside-down stomach syndrome].
abstract: Upside-down stomach syndrome is a rare type of a large paraoesophageal hiatal hernia, which requires an immediate surgical treatment in case of incarceration. The authors present a case report of a 53-year-old male patient with gastric volvulus related to the upside-down stomach syndrome. Surgical treatment was complicated by an injury to distal oesophagus, which was successfully treated using a self-expandable metallic stent among other methods. Despite the complicated postoperative course with a necessity of reoperation, insertion of an oesophageal stent, thoracotomy for a mediastinal abscess and secondary healing of the laparotomy, the patient was discharged in a good condition with healed oesophageal perforation and laparotomy after 52 days.
authors.forename: L
authors.initials: L
authors.lastname: Hána
authors.forename: M
authors.initials: M
authors.lastname: Kasalický
authors.forename: E
authors.initials: E
authors.lastname: Koblihová
authors.forename: Š
authors.initials: Š
authors.lastname: Suchánek
authors.forename: P
authors.initials: P
authors.lastname: Horažďovský
authors.forename: M
authors.initials: M
authors.lastname: Ryska
mesh_terms: D000038:Abscess / Q000601:surgery; D013505:Digestive System Surgical Procedures / Q000009:adverse effects*; D004939:Esophageal Perforation / Q000209:etiology* / Q000601:surgery; D006551:Hernia, Hiatal / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000601:surgery; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation; D000069322:Self Expandable Metallic Stents; D013277:Stomach Volvulus / Q000209:etiology / Q000601:surgery*; D013908:Thoracotomy; D014945:Wound Healing