Related Experiment Video
Updated: Jul 17, 2026
10:52
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
5.5K
Hiatus hernia with gastric volvulus and duodenum component: a case report
F Y Gimenez1, L A R Takahashi1, G G Oliveira1
1General Surgery, Federal University of São Paulo, Durval Clemente Street, São Paulo, Brazil.
Journal of Surgical Case Reports
|December 15, 2021
Summary
This case report details a rare instance of mesenteroaxial gastric volvulus in an elderly woman, presenting with bowel obstruction. It emphasizes the diagnostic challenges of this uncommon gastric volvulus presentation in older adults.
Area of Science:
- Gastroenterology
- Geriatric Medicine
- Surgical Case Reports
Background:
- Gastric volvulus, an abnormal stomach rotation, is rare, typically affecting infants or middle-aged adults.
- Mesenteroaxial gastric volvulus, a specific type, is less common, accounting for only 30% of cases.
- Elderly patients over 70 represent a particularly rare demographic for gastric volvulus.
Observation:
- A rare case of mesenteroaxial gastric volvulus associated with hiatal hernia is presented.
- The patient was an 88-year-old woman with symptoms of bowel obstruction.
- Diagnosis was challenging due to the patient's advanced age and the uncommon presentation.
Findings:
- The study highlights a rare case of mesenteroaxial gastric volvulus in an 88-year-old female.
- The patient presented with symptoms indicative of bowel obstruction.
- The co-occurrence with a hiatal hernia was noted.
Implications:
- This case underscores the importance of considering gastric volvulus in the differential diagnosis of intestinal obstruction, especially in elderly patients.
- The rarity of the condition and its presentation in older adults can complicate diagnosis.
- Recognizing gastric volvulus is crucial for timely and appropriate management in geriatric patients presenting with obstructive symptoms.
Related Concept Videos
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
01:25Hiatal 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...
01:11Pyloric 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...
01:25Peptic Ulcer Disease III: Clinical Manifestations and Complications
Duodenal UlcersDuodenal ulcers are the most common form of peptic ulcer disease, presenting with chronic, intermittent epigastric pain. Pain typically appears 2–3 hours after meals, especially when the stomach is empty, often waking patients at night. It is characteristically relieved by food or antacids (“pain–food–relief”). Some patients remain asymptomatic until complications like bleeding or perforation emerge, particularly with NSAID or anticoagulant use.Gastric UlcersGastric ulcers share...
01:29Intestinal Obstruction I: Introduction
Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
01:07Intestinal 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...