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Updated: Jun 13, 2025

Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
Diaphragmatic rupture due to massive gastric volvulus after robotic-assisted diaphragm plication
Anthony M De Gregorio1, K Robert Shen1, Luis F Tapias1
1Division of Thoracic Surgery, Mayo Clinic, Rochester, MN 55905, United States.
Abstract:
Gastric volvulus has been rarely associated with diaphragmatic paralysis or eventration. In this article, we present the case of a patient with idiopathic paralysis of the left hemidiaphragm that underwent treatment with a robotic thoracoscopic diaphragm plication, which was complicated by massive gastric volvulus resulting in such significant intra-abdominal hypertension that the ipsilateral diaphragm ruptured anterior to the plication suture line.
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