Acute Gastric Volvulus due to Diaphragmatic Hernia.
- Author:
Ju Hee MAENG
1
;
Hee Sup LEE
;
Jin Gun JANG
;
Bae Gun PARK
;
Byung Kyu NAH
;
Yong Ho KIM
;
Sung Moon JUNG
;
Gab Jin CHEON
Author Information
1. Department of Internal Medicine, Gangneung Asan Medical Center, University of Ulsan College of Medicine, Gangneung, Korea. r000028@hanmail.net
- Publication Type:Case Report ; English Abstract
- Keywords:
Stomach volvulus;
Hernia;
diaphragmatic
- MeSH:
Acute Disease;
Hernia, Diaphragmatic/*complications;
Humans;
Male;
Middle Aged;
Stomach Volvulus/diagnosis/*etiology
- From:The Korean Journal of Gastroenterology
2003;42(6):544-548
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gastric volvulus is an uncommon condition which is difficult to diagnose and treat. It designates abnormal rotation of the stomach along its longitudinal (organoaxial) or transverse (mesenteroaxial) axis. When the rotation exceeds 180 degrees, gastric obstruction or strangulation may occur. The classical presentation of acute gastric volvulus is the triad of severe epigastric pain, vomiting followed by retching without the ability to vomit, and difficulty or inability to pass a nasogastric tube. Delay in diagnosis and treatment of gastric volvulus can lead to fatal complications such as gastric ischemia, perforation, and hemorrhage. Gastric volvulus is a true emergency which should be treated immediately either surgically or by upper endoscopy. We report a case of an acute incarcerated gastric volvulus due to a left-sided diaphragmatic hernia in an adult male patient, which was treated successfully by operation.
