Organoaxial gastric volvulus secondary to hiatal hernia successfully treated with laparoscopic surgery: a case report

Gastric volvulus is a rare but potentially life-threatening condition characterized by abnormal rotation of the stomach. Early diagnosis and surgical management are essential to prevent ischemia and necrosis. We report the case of a 56-year-old woman presenting with abdominal pain and vomiting. Contrast-enhanced computed tomography demonstrated a markedly distended stomach with abnormal orientation consistent with organoaxial gastric volvulus. After initial decompression with a nasogastric tube, the patient underwent laparoscopic exploration. Intraoperatively, the proximal stomach was found herniated through the hiatus, causing organoaxial gastric volvulus. The stomach was reduced from the thorax, detorsion was performed, and hiatal repair with cruroplasty and Nissen fundoplication was completed. No ischemia or necrosis was observed. The patient had an uneventful postoperative course and was discharged on postoperative day four. This case reinforces the role of early diagnosis and laparoscopic management in achieving favorable outcomes in gastric volvulus associated with hiatal hernia.