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Hernia hiatal complicada por volvulus gástrico: informe del caso

  • 0Department of General Surgery, King Salman Bin Abdulaziz Medical City, Medina, Saudi Arabia.
Journal of Surgical Case Reports +

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4 de septiembre de 2025

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4 de septiembre de 2025

Ver abstracta en PubMed

Resumen

Este resumen es generado por máquina.

El volvulus gástrico, una rotación severa del estómago, es una complicación rara de las hernias hiatales grandes. El diagnóstico rápido y la gastropexia quirúrgica en pacientes de edad avanzada pueden conducir a una recuperación exitosa.

Área De La Ciencia

  • Gastroenterología
  • Informe de caso quirúrgico

Sus Antecedentes

  • El volvulus gástrico es una afección rara pero grave que implica una rotación anormal del estómago (> 180°).
  • A menudo se presenta como una complicación de las grandes hernias hiatales, lo que lleva a obstrucción, isquemia o perforación.
  • Pacientes ancianos con dolor abdominal superior y vómitos pueden tener esta afección.

Objetivo Del Estudio

  • Para reportar un caso de volvulus gástrico secundario a una gran hernia hiatal en un paciente anciano.
  • Para enfatizar las consideraciones de diagnóstico y el manejo exitoso de esta rara condición.

Principales Métodos

  • Un estudio de caso de una mujer de 84 años con dolor epigástrico severo y vómitos de café molido.
  • El diagnóstico incluyó una esofagogastroduodenoscopia y una tomografía computarizada.
  • El tratamiento consistió en una intervención quirúrgica con gastropexia libre de tensión y reducción de la hernia hiatal.

Principales Resultados

  • La esofagogastroduodenoscopia y la tomografía computarizada confirmaron una gran hernia hiatal con volvulus gástrico.
  • El paciente se sometió a una cirugía exitosa y se recuperó bien.
  • El paciente fue dado de alta después de 17 días de atención postoperatoria.

Conclusiones

  • El volvulus gástrico debe considerarse en el diagnóstico diferencial de dolor abdominal superior y vómitos en pacientes ancianos con hernias hiatales.
  • La intervención quirúrgica, como la gastropexia, puede ser efectiva en el manejo del volvulus gástrico asociado con las hernias hiatales.
  • El reconocimiento temprano y el tratamiento quirúrgico oportuno son cruciales para obtener resultados favorables.

Palabras clave:

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