Gastric necrosis following a hiatal hernia: A case report.

ABSTRACT:

Introduction

Gastric volvulus are rare. Complications can be life threatening, including necrosis and perforation. Assessment of mucosal viability is essential, and urgent surgical intervention is mandatory in case of vascular compromise.

Presentation of case

An 72-year-old female known for a paraesophageal hiatal hernia was admitted at our emergency department with acute abdominal pain. Blood count demonstrated leukocytosis and increased C-reactive protein. Abdominal computed tomography showed a mesenteroaxial gastric volvulus. Urgent upper endoscopy revealed mucosal ischemia, which prompted immediate laparotomy with partial gastrectomy, cruroplasty, and Dor fundoplication. Postoperative course was uneventful.

Discussion

Gastric volvulus is initially treated with nas

SUBMITTER: Longchamp G 

PROVIDER: S-EPMC7810906 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature