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Published on: September 11, 2021
Gastric necrosis secondary to gastric volvulus in a paraesophageal hernia: a case report
Marine Bolliet1, Binit Katuwal1, Ramachandra Kolachalam1
1Department of Surgery, Ascension Providence Hospital-Michigan State University College of Human Medicine, Southfield Campus, Southfield, MI 48075, United States.
Abstract:
Hiatal hernias are commonly encountered in clinical practice. In certain cases, especially in large hiatal hernias, gastric volvulus can occur. Patients with volvulus typically will present with vomiting, chest pain, shortness of breath, and dysphagia. In extreme cases, gastric volvulus can result in gastric necrosis requiring partial or total gastrectomy. Here we highlight a case of a 76-year-old female with a known large type IV hiatal hernia who was found to have gastric volvulus with necrosis requiring partial sleeve gastrectomy. This case demonstrates the rare, but possible complication of gastric necrosis secondary to gastric volvulus from a large hiatal hernia, prompting emergent surgical intervention.
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