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2021, Number 4

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Rev Acta Médica 2021; 22 (4)

Mixed hiatal hernia complicated with double gastric volvulus

Pérez MG, Pérez PJ, Vilorio HPL

Language: Spanish
References: 16
Page:
PDF size: 617.19 Kb.


ABSTRACT

Introduction: Gastric volvulus is a rare complication of hiatal hernia that can be life-threatening, defined as an abnormal rotation of part or all of the stomach around one of its axes.
Objective: To describe the case of a patient with a diagnosis of type III or mixed hiatal hernia with double gastric volvulus or combined with incarceration of the stomach.
Case report: A 70-year-old woman, admitted for chest pain and food intolerance is reported here. Contrast radiological study showed double gastric volvulus as a complication of mixed hiatal hernia. She underwent surgery urgently. Stomach release and reduction was performed, as well as closure of the hernial defect, and fundoplication.
Conclusions: The early diagnosis of gastric volvulus in stable patients with recent evolution of gastric obstruction allows the laparoscopic approach safely.


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