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Chronic Mesentero-Axial Gastric Volvulus Associated with a Parahiatal Diaphragmatic Hernia: A Rare Entity

  • Vivek Agrawal
  • Sambhav GuptaEmail author
Images in Surgery
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Abstract

Gastric volvulus, a rare entity, seldom presents with diaphragmatic hernia and is usually missed during preliminary workup (Demmy et al. in Ann Thorac Surg [Internet] 58(1):226–227, 2010). We present the case of a 55-year-old lady who presented with vomiting, pain upper abdomen, heartburns, and episodic unproductive retching for the past 6 months. The diagnosis of diaphragmatic hernia was made on erect chest X-ray and the barium study findings. Intraoperatively, a mesentero-axial gastric volvulus was found to be associated with a parahiatal hernia (Scheidler et al. in Ann Thorac Surg 73(2):416–419, 2002). The contents were reduced back into the abdomen, and diaphragmatic defect was approximated. Chronic gastric volvulus with or without diaphragmatic hernia should be kept as a differential in old age groups suffering from intractable dyspepsia unresponsive to conventional therapies (McElreath et al. in Dig Dis Sci 53(11):3033–3036, 2008; Teague et al. in Br J Surg 87(3):358–361, 2000).

Keywords

Gastric volvulus Parahiatal hernia Diaphragmatic hernia 

Notes

Compliance with ethical standards

Conflict of interest

There is no conflict of interests in the present study.

References

  1. 1.
    Demmy TL, Boley TM, Curtis JJ (2010) Strangulated parahiatal hernia: Not just another paraesophageal hernia. Ann Thorac Surg [Internet]. 58(1):226–227. Available from:  https://doi.org/10.1016/0003-4975(94)91106-1 CrossRefGoogle Scholar
  2. 2.
    Scheidler MG, Keenan RJ, Maley RH, Wiechmann RJ, Fowler D, Landreneau RJ (2002) “True” parahiatal hernia: a rare entity radiologic presentation and clinical management. Ann Thorac Surg 73(2):416–419CrossRefGoogle Scholar
  3. 3.
    McElreath DP, Olden KW, Aduli F (2008) Hiccups: A subtle sign in the clinical diagnosis of gastric volvulus and a review of the literature. Dig Dis Sci 53(11):3033–3036CrossRefGoogle Scholar
  4. 4.
    Teague WJ, Ackroyd R, Watson DI, Devitt PG (2000) Changing patterns in the management of gastric volvulus over 14 years. Br J Surg 87(3):358–361CrossRefGoogle Scholar

Copyright information

© Association of Surgeons of India 2019

Authors and Affiliations

  1. 1.Department of SurgeryUniversity College of Medical Sciences and GTB HospitalNew DelhiIndia

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