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Inicio Cirugía Española (English Edition) Gastric volvulus: A complication of hiatal hernia
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Vol. 101. Issue 2.
Pages 131 (February 2023)
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Vol. 101. Issue 2.
Pages 131 (February 2023)
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Gastric volvulus: A complication of hiatal hernia
Hernia de hiato complicada con vólvulo gástrico
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María Martínez-Galilea
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, Aitana García Tejero, Juan Ignacio Peña Sainz de Aja, Enrique García Tricio
Cirugía General del Aparato Digestivo y Cirugía Plástica, Hospital San Pedro, Logroño, La Rioja, Spain
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A 78-year-old woman consulted for epigastric abdominal pain of 24 h' duration. Thoracoabdominal CT scan showed evidence of giant hiatus hernia complicated by gastric volvulus (Fig. 1). After CT scan, cardiorespiratory arrest secondary to obstructive shock due to cardiac tamponade. The patient was successfully resuscitated and gastroscopy was performed, identifying gastric ischaemia with areas of necrosis, for which urgent surgery was indicated. After gastric reduction and devolvement, extensive necrosis was found in the greater curvature. Vertical gastrectomy, closure of diaphragmatic pillars and feeding jejunostomy were performed.

Fig. 1
(0.15MB).

Case study diagnosis: hiatal hernia complicated by gastric volvulus.

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