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Type IV paraesophageal hiatal hernia and organoaxial gastric volvulus
Type IV paraesophageal hiatal hernia and organoaxial gastric volvulus
- Source :
- McGill Journal of Medicine, Vol 14, Iss 1 (2020)
- Publication Year :
- 2020
- Publisher :
- McGill University, 2020.
-
Abstract
- Organoaxial gastric volvulus occurs when the stomach rotates on its longitudinal axis connecting the gastroesophageal junction to the pylorus. With that, the antrum of the stomach usually rotates in the opposite direction in rela-tion to its fundus (1). This phenomenon has often been known to be associated with diaphragmatic defects (2) Importantly, abnormal rotation of the stomach of more than 180° is a life threatening emergency that may create a closed loop ob- struction which may result in incarceration leading to strangulation, and hence, a surgical emergency. We present the case of a middle-aged female who presented with organoaxial gastric volvulus and had an associated Type IV paraesophageal hiatal hernia that was treated electively. Normally an emergent gastric volvulus is diagnosed via Borchardt’s classic triad (epigastric pain, unproductive vomiting and diffculty inserting a nasogastric tube); however in this patient the nasogastric tube (NGT) was passed into the antrum which allowed additional time for resusci-tation with fuids and other symptomatic relief.
- Subjects :
- Gastric volvulus
medicine.medical_specialty
business.industry
Stomach
digestive, oral, and skin physiology
lcsh:R
Paraesophageal Hiatal Hernia
lcsh:Medicine
General Medicine
medicine.disease
Pylorus
Epigastric pain
Symptomatic relief
digestive system diseases
Surgery
medicine.anatomical_structure
medicine
Surgical emergency
business
Antrum
Subjects
Details
- Language :
- English
- ISSN :
- 17158125
- Volume :
- 14
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- McGill Journal of Medicine
- Accession number :
- edsair.doi.dedup.....a4e26b10532ba56990048b2f55fec2ee