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Gastric volvulus with diaphragmatic hernia presenting with unexplained weight loss: a delayed diagnosis
1School of Digestive and Liver Diseases, Seth Sukhlal Karnani Memorial Hospital and Institute of Postgraduate Medical Education and Research, Acharya Jagadish Chandra Bose Road, Kolkata 700020, West Bengal, India. drsupriyo@yahoo.co.in
Abstract:
Gastric volvulus (GV) is a rare condition that presents with epigastric pain, retching and at times, vomiting. There are two types of GV: organoaxial and mesenteroaxial. We report the case of a 49-year-old woman with chronic mesenteroaxial volvulus with left-sided diaphragmatic defect. She presented with significant weight loss over a period of two years, with nonspecific symptoms of heartburn, occasional mild epigastric pain and anorexia. The patient was diagnosed with barium meal and contrast-enhanced computed tomography imaging. She was treated with open repair of diaphragmatic defect and anterior gastropexy. She was asymptomatic and had gained weight at the six-month follow-up.
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