scholarly journals Acute Gastric Volvulus in the Setting of a Paraesophageal Hernia With Hemoperitoneum: Emergency Department Diagnosis and Management

Cureus ◽  
2021 ◽  
Author(s):  
Michael Hughes ◽  
Derrick Huang ◽  
Samyr Elbadri ◽  
Michael Falgiani ◽  
Latha Ganti
2006 ◽  
Vol 23 (3) ◽  
pp. 169-172 ◽  
Author(s):  
Stavros Gourgiotis ◽  
Vasilis Vougas ◽  
Stylianos Germanos ◽  
Sotiris Baratsis

2018 ◽  
Vol 5 (3) ◽  
pp. 1137 ◽  
Author(s):  
Alaa Sedik ◽  
Salwa Elhoushy

Acute gastric volvulus is a rare, life-threatening condition, but its intermittent nature and vague symptoms may make diagnosis difficult. Imaging is usually only diagnostic if carried out when patients are symptomatic. In the acute scenario, severe epigastric pain, retching with or without vomiting and difficulty or inability to pass nasogastric tube, constitute the Borchardt ’s triad that may be diagnostic. Herein, author reported a case that presented lately to the emergency department in shock with severe abdominal pain, abdominal distension and vomiting. Unfortunately, she died before surgery. Acute gastric volvulus is a surgical emergency requiring early diagnosis and aggressive management, as a delay results into complications like gangrene and perforation which substantially increase the morbidity and mortality in these patients.


2012 ◽  
Vol 94 (2) ◽  
pp. e88-e89
Author(s):  
C Warren ◽  
W Wallace ◽  
WJ Campbell

Acute gastric volvulus is an uncommon entity that requires prompt diagnosis and management to prevent potential life threatening complications. We present a rare case of splenic laceration secondary to acute gastric volvulus.


2008 ◽  
Vol 18 (3) ◽  
pp. 188-191 ◽  
Author(s):  
V. Upadhyaya ◽  
A. Gangopadhyay ◽  
A. Pandey ◽  
V. Kumar ◽  
S. Sharma ◽  
...  

2017 ◽  
Vol 4 ◽  
pp. 315-317 ◽  
Author(s):  
Hüseyin Çiyiltepe ◽  
Ebubekir Gündeş ◽  
Durmuş Ali Çetin ◽  
Ulaş Aday ◽  
Emre Bozdağ ◽  
...  

2021 ◽  
pp. 594-597
Author(s):  
Chris J. Li ◽  
Benjamin B. Claxton ◽  
Peter Block ◽  
Sean Reilly ◽  
Scott Manski ◽  
...  

Acute esophageal necrosis (AEN) or “black esophagus” is a rare clinical entity caused by necrosis of distal esophageal mucosa stemming from esophageal ischemia. Possible etiologies are broad but most commonly include possible triggers of low-flow vascular states in the esophagus, including infections, broad-spectrum antibiotic use, and gastric volvulus, among others. Patients most commonly present clinically with acute onset hematemesis and melena. Here, we describe a patient who initially presented with multiple nonspecific gastrointestinal symptoms, including abdominal pain and nausea, that progressed over a 10-day period, culminating in multiple episodes of hematemesis prior to presentation. Endoscopic evaluation confirmed the diagnosis of AEN and unveiled a possible paraesophageal hernia (PEH) as the causative factor. A subsequent videofluoroscopic barium swallow was utilized to better characterize the upper gastrointestinal anatomy and confirmed the PEH as a likely etiology. Esophagogastroduodenoscopy (EGD) can often identify PEH independently, but in patients with AEN secondary to a possible, but unclear, PEH on EGD, a videofluoroscopic barium swallow is an appropriate and useful next step in confirming the diagnosis. While treatment of AEN traditionally involves fluid resuscitation, intravenous protein pump inhibitors, and total parenteral nutrition, surgical intervention is often indicated in patients who have a contributing and symptomatic PEH.


Author(s):  
Koji Yokoyama ◽  
Tomonori Yano ◽  
Hideki Kumagai ◽  
Yuko Okada ◽  
Yusuke Hashimoto ◽  
...  

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