Gastric volvulus and obstruction in paraesophageal hiatus hernia

1972 ◽  
Vol 17 (2) ◽  
pp. 119-128 ◽  
Author(s):  
Richard R. Babb ◽  
Owen C. Peck ◽  
Robert W. Jamplis
Keyword(s):  
Hiatus Hernia ◽  
Gastric Volvulus ◽  
Paraesophageal Hiatus Hernia

scholarly journals Congenital paraesophageal hiatus hernia with gastric volvulus

2008 ◽  
Vol 13 (1) ◽  
pp. 36 ◽  
Author(s):  
AshokY Kshirsagar ◽  
SL Shinde ◽  
MD Ahire ◽  
YB Langade
Keyword(s):  
Hiatus Hernia ◽  
Gastric Volvulus ◽  
Paraesophageal Hiatus Hernia

Death from paraesophageal hiatus hernia: post-mortem assessment and forensic relevance

2003 ◽  
Vol 5 ◽  
pp. S267-S270 ◽  
Author(s):  
Werner Janssen ◽  
Heike Klotzbach ◽  
Klaus Püschel
Keyword(s):  
Hiatus Hernia ◽  
Post Mortem ◽  
Paraesophageal Hiatus Hernia

scholarly journals Laparoscopic repair of paraesophageal hiatus hernia in infancy

2008 ◽  
Vol 13 (4) ◽  
pp. 142 ◽  
Author(s):  
AnjaniKumar Kundal ◽  
NoorUllah Zargar ◽  
Anurag Krishna
Keyword(s):  
Hiatus Hernia ◽  
Laparoscopic Repair ◽  
Paraesophageal Hiatus Hernia

scholarly journals Gastric volvulus or just a large stomach? a case report with literature review of gastric volvulus and gastrointestinal pathology in acromegaly

2020 ◽  
Vol 7 (3) ◽  
pp. 941
Author(s):  
Jasmine J. Mui ◽  
Amit Sarkar ◽  
Mark Magdy
Keyword(s):  
Hiatus Hernia ◽  
Transverse Colon ◽  
Epigastric Pain ◽  
Gastric Volvulus ◽  
Abdominal Distension ◽  
Acromegalic Patient ◽  
Ct Diagnosis ◽  
Rare Finding ◽  
Gastrointestinal Pathology ◽  
Coffee Ground

Gastric volvulus is a surgical emergency that requires prompt recognition and management. The acromegalic patient has a number of pathophysiological factors that predispose to gastric volvulus and slow gastrointestinal (GI) transit. Authors aimed to present a case of hiatus hernia and gastric volvulus in a patient with acromegaly and review the current literature on GI anomalies in this population. A 70-year-old female presented to our institute with epigastric pain and coffee-ground vomiting on the background of acromegaly secondary to pituitary adenoma (resected in 1997). She was found to have a gastric volvulus and hiatus hernia which was repaired laparoscopically. She was discharged home but re-presented six days later with abdominal distension and vomiting. Computed tomography (CT) scan of abdomen showed recurrent gastric volvulus with involvement of the transverse colon. She underwent a laparotomy but no evidence of gastric or colonic volvulus was seen intra-operatively. The CT findings were attributed to a large stomach and coiled redundant transverse colon which could be misinterpreted as volvulus on imaging. Gastroparesis and slow bowel transit were the likely aetiology of this second presentation. This is consistent with literature reporting slow bowel transit and dolichocolon in acromegalic patients. Gastric volvulus is a rare finding associated with acromegaly. Structural anomalies in the anatomy of the acromegalic patient can make CT diagnosis challenging. This case demonstrates the need for caution when interpreting imaging in this cohort, as well as the need for further research on GI pathology associated with acromegaly.

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