title: Gastric volvulus with a large bochdalek hernia in an adult successfully treated with emergency endoscopic reduction followed by elective laparoscopic mesh repair: A case study.
abstract: We report a case of gastric volvulus with a large Bochdalek hernia successfully treated with emergency endoscopic reduction followed by elective laparoscopic mesh repair. The patient was a 71-year-old woman with no history of trauma. She was referred to our hospital because of nausea and vomiting after eating. Thoracic and abdominal CT showed gastric volvulus and a large Bochdalek hernia. The patient underwent emergency endoscopic reduction and elective laparoscopic surgery. The defect (10 × 12 cm) was reinforced with a Dual Mesh (expanded polytetrafluoroethylene) and fixed to the diaphragm with nonabsorbable sutures. The postoperative course was uneventful, and no complications or recurrence was found at the 2-year follow-up. The endoscopic reduction and elective laparoscopic procedure was performed successfully and resulted in significant clinical improvement in this case.
authors.affiliation: Department of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan. nqswc547@yahoo.co.jp.
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Nishihara
authors.affiliation: Department of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan.
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Kawaguchi
authors.affiliation: Department of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan.
authors.forename: Hidejiro
authors.initials: H
authors.lastname: Urakami
authors.affiliation: Department of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan.
authors.forename: Shiko
authors.initials: S
authors.lastname: Seki
authors.affiliation: Department of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Ohishi
authors.affiliation: Department of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan.
authors.forename: Yoh
authors.initials: Y
authors.lastname: Isobe
authors.affiliation: Department of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan.
authors.forename: Sumio
authors.initials: S
authors.lastname: Matsumoto
mesh_terms: D000368:Aged; D017558:Elective Surgical Procedures; D005260:Female; D065630:Hernias, Diaphragmatic, Congenital / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D059685:Herniorrhaphy; D006801:Humans; D010535:Laparoscopy; D013277:Stomach Volvulus / Q000209:etiology* / Q000601:surgery*; D013526:Surgical Mesh
keywords: Bochdalek hernia; gastric volvulus; laparoscopic repair