Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Esophageal Perforation-I: Introduction

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:

Hiatal Hernia

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...

Intestinal Obstruction II: Pathophysiology

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...

Pyloric Obstruction

Pyloric Obstruction

Pyloric obstruction, also referred to as gastric outlet obstruction, is a condition characterized by narrowing or blockage at the pylorus—the muscular valve regulating the flow of stomach contents into the duodenum. When this passage becomes impaired, the stomach cannot effectively empty its contents into the small intestine. This disruption leads to a range of gastrointestinal symptoms, including early satiety, bloating, epigastric pain, postprandial nausea, persistent vomiting, and...

Diverticular Disease of the Colon

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Unveiling the uncertainty: Cytomorphometric parameters in oral exfoliated cells falter in precise age estimation.

Morphologie : bulletin de l'Association des anatomistes·2026

Same author

Enhancement of Cold Electron Emission in Europium Doped Zinc Oxide Rod: An Experimental Verification of Simulative Prediction.

Small (Weinheim an der Bergstrasse, Germany)·2025

Same author

Two-step transconjunctival approach for suprachoroidal haemorrhage prior to clot liquefaction.

Journal francais d'ophtalmologie·2025

Same author

Evidence of a Hardening in the Cosmic Ray Proton Spectrum at around 166 TeV Observed by the GRAPES-3 Experiment.

Physical review letters·2024

Same author

Significant enhancement in the cold emission characteristics of chemically synthesized super-hydrophobic zinc oxide rods by nickel doping.

Nanoscale advances·2023

Same author

Anatomage - the virtual dissection tool and its uses: A narrative review.

Journal of postgraduate medicine·2022

Search research articles

Related Experiment Video

Updated: May 19, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Diaphragmatic eventration complicated by gastric volvulus with perforation.

V Gupta¹, P Gupta, A Chandra

¹Department of Surgical Gastroenterology, Chhatrapati Shahuji Maharaj Medical University, Chowk, Lucknow, Uttar Pradesh, India. vggis@yahoo.co.in

South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie

|August 4, 2012

Summary

Diaphragmatic eventration with gastric volvulus is rare. This case highlights a unique instance of gastric perforation occurring without strangulation in an elderly patient with chronic gastric volvulus.

More Related Videos

Robotic Myotomy and Partial Fundoplication for Achalasia

Robotic Myotomy and Partial Fundoplication for Achalasia

Published on: August 11, 2023

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

Related Experiment Videos

Last Updated: May 19, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Robotic Myotomy and Partial Fundoplication for Achalasia

Robotic Myotomy and Partial Fundoplication for Achalasia

Published on: August 11, 2023

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

Area of Science:

Gastroenterology
Thoracic Surgery
Surgical Case Reports

Background:

Eventration of the diaphragm, a condition where the diaphragm fails to fully descend, is uncommon.
Gastric volvulus, a twisting of the stomach, can occur secondary to diaphragmatic abnormalities.
Gastric perforation is a rare and severe complication, typically associated with acute gastric volvulus and strangulation.

Observation:

This report details a case in an elderly male patient.
The patient presented with diaphragmatic eventration and chronic gastric volvulus.
The complication observed was gastric perforation, notably without signs of strangulation.

Findings:

The study describes a rare occurrence of gastric perforation in the context of chronic gastric volvulus.
Unlike typical presentations, this perforation did not involve gastric strangulation.
This challenges the conventional understanding linking gastric perforation in volvulus solely to acute, strangulated forms.

Implications:

This case expands the spectrum of potential complications associated with diaphragmatic eventration and gastric volvulus.
It suggests that gastric perforation can occur in chronic, non-strangulated gastric volvulus, necessitating consideration in elderly patients.
Further investigation into the mechanisms of perforation in non-strangulated gastric volvulus may be warranted.