S3597 Rare Case of Gastric Volvulus Associated With Hiatal Hernia of Entire Stomach

Gastric volvulus (GV) and wandering spleen (WS) associated with eventration of diaphragm share a common pathological cause of absence or laxity of intraperitoneal ligaments. We herein report a rare case of a 13-year-old child presenting with an acute GV, WS, diaphragmatic eventration and an ectopic ascended kidney managed with a laparoscopic approach.

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A rare case of post-splenectomy gastric volvulus managed by laparoscopic anterior gastropexy

Journal of Minimal Access Surgery ◽

10.4103/0972-9941.195581 ◽

2016 ◽

Vol 0 (0) ◽

pp. 0

Author(s):

GangaRam Verma ◽

RahulAmreesh Gupta ◽

Rinki Das

Keyword(s):

Rare Case ◽

Gastric Volvulus ◽

Anterior Gastropexy

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Intrathoracic sleeve gastrectomy migration with gastric volvulus treated with laparoscopic repair and conversion to gastric bypass

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa234 ◽

2020 ◽

Vol 2020 (8) ◽

Author(s):

Yahya Alwatari ◽

Renato Roriz-Silva ◽

Roel Bolckmans ◽

Guilherme M Campos

Keyword(s):

Gastric Bypass ◽

Sleeve Gastrectomy ◽

Hernia Repair ◽

Hiatal Hernia ◽

Gastric Volvulus ◽

Hiatal Hernia Repair ◽

Upper Endoscopy ◽

Technical Standards ◽

Upper Gastrointestinal

Abstract A 43 years old female with laparoscopic sleeve gastrectomy (SG) and an ‘anterior’ hiatal hernia repair 11 years ago, presented with 3 years history dysphagia and heartburn. Upper gastrointestinal barium showed an almost complete intrathoracic migration of the SG with a partial organoaxial volvulus. Upper endoscopy revealed a 10 cm hiatal hernia with grade B esophagitis. Laparoscopic revision surgery with reduction of the gastric sleeve, standard posterior hiatal hernia repair, resection of the narrowed remnant of the SG and conversion to a gastric bypass was performed. No postoperative complications occurred. The patient is asymptomatic at 2 years of follow-up. We present the technical standards for the management and discuss the suspected pathophysiology of this rare but challenging condition.

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Acute Gastric Volvulus on Hiatal Hernia

Case Reports in Surgery ◽

10.1155/2020/4141729 ◽

2020 ◽

Vol 2020 ◽

pp. 1-5

Author(s):

Abdessamad EL KAOUKABI ◽

Mohamed MENFAA ◽

Samir HASBI ◽

Fouad SAKIT ◽

Abdelkrim CHOHO

Keyword(s):

Hiatal Hernia ◽

Gastrointestinal Endoscopy ◽

Epigastric Pain ◽

Gastric Volvulus ◽

Upper Gastrointestinal Endoscopy ◽

Rare Entity ◽

Midline Laparotomy ◽

Acute Gastric Volvulus ◽

Upper Abdominal ◽

Upper Gastrointestinal

The gastric volvulus is defined as an abnormal rotation of all or part of the stomach around one of its axes, creating the conditions of an upper abdominal obstruction with gastric dilation and risk of strangulation. It is a rare entity that requires a surgical treatment, and its diagnosis is often delayed due to frequently aspecific symptoms. We will describe the observation of a 62 year old patient who presented to the emergency department for acute epigastric pain with dyspnea. The thoracoabdominal CT has demonstrated a stasis stomach on pyloric obstacle evoking a gastric torsion. An upper gastrointestinal endoscopy (EGD) and an upper gastrointestinal contrast made it possible to diagnose an acute gastric volvulus on hiatal hernia. A midline laparotomy was performed with detorsion of the stomach and repair of the hiatal hernia. The patient recovered gradually and was discharged on the sixth postoperative day. Three months after the operation, the patient remained asymptomatic.

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