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Acute Gastric Volvulus on Hiatal Hernia
Abdessamad El Kaoukabi1, Mohamed Menfaa1, Samir Hasbi1
1General Surgery, Moulay Ismail Military Hospital, Morocco.
Case Reports in Surgery
|December 30, 2020
Summary
This case report highlights a rare instance of acute gastric volvulus, a stomach rotation causing obstruction. Surgical intervention successfully resolved the condition, with the patient remaining asymptomatic post-operation.
Area of Science:
- Gastroenterology
- Surgical Case Report
Background:
- Gastric volvulus, an abnormal stomach rotation, presents a rare surgical emergency.
- Delayed diagnosis is common due to non-specific symptoms, necessitating advanced imaging.
Observation:
- A 62-year-old patient presented with acute epigastric pain and dyspnea.
- CT revealed gastric stasis and obstruction, suggesting torsion.
- Endoscopy and contrast imaging confirmed acute gastric volvulus secondary to a hiatal hernia.
Findings:
- Surgical detorsion of the stomach and hiatal hernia repair were performed via laparotomy.
- The patient experienced a gradual recovery and was discharged on postoperative day six.
Implications:
- This case underscores the importance of considering gastric volvulus in patients with unexplained upper abdominal symptoms.
- Prompt surgical management is crucial for favorable outcomes in acute gastric volvulus.
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