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Endoscopic Reduction of an Acute Gastric Volvulus
Prisca Pungwe1, Dirin Ukwade2, Ankur Patel1
1Internal Medicine, Baylor College of Medicine, Houston, USA.
Cureus
|May 14, 2024
Summary
This case report details a 52-year-old man with acute gastric volvulus secondary to a large paraesophageal hernia. Treatment involved endoscopic detorsion, nasogastric tube placement, and laparoscopic gastropexy.
Area of Science:
- Gastroenterology and Surgical Case Reports
Background:
- Paraesophageal hernias can lead to gastric complications, including gastric volvulus.
- Acute gastric volvulus is a rare but serious condition requiring prompt diagnosis and management.
Observation:
- A 52-year-old male presented with symptoms attributed to a large paraesophageal hernia.
- Computerized tomography (CT) revealed intrathoracic herniation of the stomach and duodenum, indicating mesenteroaxial rotation.
Findings:
- Esophagogastroduodenoscopy (EGD) confirmed acute gastric volvulus.
- Initial management included endoscopic detorsion and nasogastric tube placement.
- Surgical intervention with laparoscopic gastropexy was performed successfully.
Implications:
- This case highlights the importance of recognizing gastric volvulus in patients with paraesophageal hernias.
- Laparoscopic gastropexy is an effective treatment for acute gastric volvulus.
- Future Roux-en-Y gastric bypass surgery is planned for the patient.
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