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Acute Intrathoracic Gastric Volvulus due to Diaphragmatic Hernia: A Rare Emergency Easily Overlooked.
Case Rep Gastroenterol. 2011 May; 5(2):272-7.CR

Abstract

Acute intrathoracic gastric volvulus occurs when the stomach undergoes organoaxial torsion in the chest due to either concomitant enlargement of the hiatus or a diaphragmatic hernia. Iatrogenic diaphragmatic hernia can occur after hiatal hernia repair and other surgical procedures, such as nephrectomy, esophagogastrectomy and splenopancreatectomy. We describe a 49-year-old woman who presented to our emergency department with acute moderate epigastric soreness and vomiting. She had undergone extensive gynecologic surgery including splenectomy 1 year before. The chest radiograph obtained in the emergency department demonstrated an elevated gastric air-fluid level in the left lower lung field. An urgent gastroscopy showed twisted structural abnormality of the stomach body. A computed tomography scan demonstrated the distended stomach, located in the left lower hemithorax through a left diaphragmatic defect. Emergent transthoracic repair was performed. Postoperative recovery was uneventful, and the patient did not experience any pain or difficulty with eating.

Authors+Show Affiliations

Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports

Language

eng

PubMed ID

21887128

Citation

Kim, Hyung Hun, et al. "Acute Intrathoracic Gastric Volvulus Due to Diaphragmatic Hernia: a Rare Emergency Easily Overlooked." Case Reports in Gastroenterology, vol. 5, no. 2, 2011, pp. 272-7.
Kim HH, Park SJ, Park MI, et al. Acute Intrathoracic Gastric Volvulus due to Diaphragmatic Hernia: A Rare Emergency Easily Overlooked. Case Rep Gastroenterol. 2011;5(2):272-7.
Kim, H. H., Park, S. J., Park, M. I., & Moon, W. (2011). Acute Intrathoracic Gastric Volvulus due to Diaphragmatic Hernia: A Rare Emergency Easily Overlooked. Case Reports in Gastroenterology, 5(2), 272-7. https://doi.org/10.1159/000328444
Kim HH, et al. Acute Intrathoracic Gastric Volvulus Due to Diaphragmatic Hernia: a Rare Emergency Easily Overlooked. Case Rep Gastroenterol. 2011;5(2):272-7. PubMed PMID: 21887128.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute Intrathoracic Gastric Volvulus due to Diaphragmatic Hernia: A Rare Emergency Easily Overlooked. AU - Kim,Hyung Hun, AU - Park,Seun Ja, AU - Park,Moo In, AU - Moon,Won, Y1 - 2011/05/06/ PY - 2011/9/3/entrez PY - 2011/9/3/pubmed PY - 2011/9/3/medline KW - Diaphragmatic hernia KW - Emergency KW - Gastric volvulus KW - Torsion SP - 272 EP - 7 JF - Case reports in gastroenterology JO - Case Rep Gastroenterol VL - 5 IS - 2 N2 - Acute intrathoracic gastric volvulus occurs when the stomach undergoes organoaxial torsion in the chest due to either concomitant enlargement of the hiatus or a diaphragmatic hernia. Iatrogenic diaphragmatic hernia can occur after hiatal hernia repair and other surgical procedures, such as nephrectomy, esophagogastrectomy and splenopancreatectomy. We describe a 49-year-old woman who presented to our emergency department with acute moderate epigastric soreness and vomiting. She had undergone extensive gynecologic surgery including splenectomy 1 year before. The chest radiograph obtained in the emergency department demonstrated an elevated gastric air-fluid level in the left lower lung field. An urgent gastroscopy showed twisted structural abnormality of the stomach body. A computed tomography scan demonstrated the distended stomach, located in the left lower hemithorax through a left diaphragmatic defect. Emergent transthoracic repair was performed. Postoperative recovery was uneventful, and the patient did not experience any pain or difficulty with eating. SN - 1662-0631 UR - https://www.unboundmedicine.com/medline/citation/21887128/Acute_Intrathoracic_Gastric_Volvulus_due_to_Diaphragmatic_Hernia:_A_Rare_Emergency_Easily_Overlooked_ L2 - https://www.karger.com?DOI=10.1159/000328444 DB - PRIME DP - Unbound Medicine ER -
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