Gastric Volvulus After Left Lower Lobectomy.

Area of Science:

• Gastroenterology
• Thoracic Surgery
• Surgical Complications

Background:

• Gastric volvulus, a rare condition involving stomach twisting, is an infrequent complication post-pulmonary resection.
• Only eight cases of post-pulmonary resection gastric volvulus have been documented in English literature.
• Previous reports often involved left pneumonectomy or concurrent hiatal hernia.

Observation:

• A 73-year-old woman presented with gastric volvulus after a lobectomy.
• The patient did not have a history of hiatal hernia.
• This case represents a unique instance of gastric volvulus following lung surgery.

Findings:

• This report details a rare case of gastric volvulus occurring after a lobectomy.
• The absence of a hiatal hernia in this patient distinguishes it from several prior documented cases.
• The study contributes to the limited understanding of gastric volvulus after pulmonary resection.

Implications:

• Highlights the potential for gastric volvulus as a complication after various pulmonary resection types, including lobectomy.
• Suggests that gastric volvulus post-pulmonary resection can occur even in the absence of predisposing factors like hiatal hernia.
• Emphasizes the need for clinical vigilance and consideration of gastric volvulus in patients presenting with gastrointestinal symptoms after lung surgery.