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Hiatal hernia with upside-down stomach. Management of acute incarceration: case presentation and review of literature.
Folia Med Cracov. 2016; 56(3):61-66.FM

Abstract

Upside-down stomach (UDS) represents the rarest type of hiatal hernia (<5%) and is characterized by herniation of the entire stomach or most gastric portions into the posterior mediastinum. We present here a very rare complication of such a condition which is incarceration of upside-down stomach. A 54 year-old female was admitted to the emergency department presenting signs of acute epigastric pain radiating into thorax. Computed tomography revealed a giant hiatal hernia with incarceration of the gastric trunk. Immediate operation for reduction of the incarcerated stomach and repair of the hiatal defect was performed. The patient was discharged without any complication and was followed up at the surgical outpatient department. The presented case confirms that differentiation of an acute epigastric or intrathoracic pain in adults should always exclude presence of hiatal hernia which in case of incarceration should be treated by prompt surgical management.

Authors+Show Affiliations

Department of Anatomy, Jagiellonian University Medical College, Kopernika 12, Kraków, Poland. msgrygle@cyf-kr.edu.pl.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

28275272

Citation

Gryglewski, Andrzej, et al. "Hiatal Hernia With Upside-down Stomach. Management of Acute Incarceration: Case Presentation and Review of Literature." Folia Medica Cracoviensia, vol. 56, no. 3, 2016, pp. 61-66.
Gryglewski A, Kuta M, Pasternak A, et al. Hiatal hernia with upside-down stomach. Management of acute incarceration: case presentation and review of literature. Folia Med Cracov. 2016;56(3):61-66.
Gryglewski, A., Kuta, M., Pasternak, A., Opach, Z., Walocha, J., & Richter, P. (2016). Hiatal hernia with upside-down stomach. Management of acute incarceration: case presentation and review of literature. Folia Medica Cracoviensia, 56(3), 61-66.
Gryglewski A, et al. Hiatal Hernia With Upside-down Stomach. Management of Acute Incarceration: Case Presentation and Review of Literature. Folia Med Cracov. 2016;56(3):61-66. PubMed PMID: 28275272.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hiatal hernia with upside-down stomach. Management of acute incarceration: case presentation and review of literature. AU - Gryglewski,Andrzej, AU - Kuta,Marcin, AU - Pasternak,Artur, AU - Opach,Zdzisław, AU - Walocha,Jerzy, AU - Richter,Piotr, PY - 2017/3/10/entrez PY - 2016/1/1/pubmed PY - 2017/7/7/medline KW - Hiatal hernia KW - Nissen procedure KW - fundoplasty KW - incarceration KW - upside-down stomach SP - 61 EP - 66 JF - Folia medica Cracoviensia JO - Folia Med Cracov VL - 56 IS - 3 N2 - Upside-down stomach (UDS) represents the rarest type of hiatal hernia (<5%) and is characterized by herniation of the entire stomach or most gastric portions into the posterior mediastinum. We present here a very rare complication of such a condition which is incarceration of upside-down stomach. A 54 year-old female was admitted to the emergency department presenting signs of acute epigastric pain radiating into thorax. Computed tomography revealed a giant hiatal hernia with incarceration of the gastric trunk. Immediate operation for reduction of the incarcerated stomach and repair of the hiatal defect was performed. The patient was discharged without any complication and was followed up at the surgical outpatient department. The presented case confirms that differentiation of an acute epigastric or intrathoracic pain in adults should always exclude presence of hiatal hernia which in case of incarceration should be treated by prompt surgical management. SN - 0015-5616 UR - https://www.unboundmedicine.com/medline/citation/28275272/Hiatal_hernia_with_upside_down_stomach__Management_of_acute_incarceration:_case_presentation_and_review_of_literature_ L2 - http://www.fmc.cm-uj.krakow.pl/pdf/56_3_61.pdf DB - PRIME DP - Unbound Medicine ER -