Back to Search Start Over

Type IV paraesophageal hiatal hernia and organoaxial gastric volvulus

Type IV paraesophageal hiatal hernia and organoaxial gastric volvulus

Authors :
Nadeem Maboud
Ahmed H. Mahmoud
Jyotu Sandhu
Deandrea Sims
Sabiya Raja
Umer Feroze Malik
Alan Liu
Alison Zachry
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.

Details

Language :
English
ISSN :
17158125
Volume :
14
Issue :
1
Database :
OpenAIRE
Journal :
McGill Journal of Medicine
Accession number :
edsair.doi.dedup.....a4e26b10532ba56990048b2f55fec2ee