AI Article Synopsis
- Intrathoracic gastric volvulus is a rare condition where the stomach twists in the chest due to an enlarged hiatus.
- A unique case highlights a patient with mesenterioaxial volvulus, where the stomach rotates around its transverse axis and a part of it herniates through the diaphragm.
- The twist was corrected using a nasogastric tube, and the patient later had a laparoscopic surgery to repair the issue, with discussions on the causes and treatment options of volvulus provided.
Article Abstract
Intrathoracic gastric volvulus is an uncommon entity, in which the stomach undergoes organoaxial torsion occurring in the chest due to the concomitant presence of an enlargement of the hiatus. We herein report an unusual case of acute intrathoracic mesenterioaxial volvulus of the stomach. Gastric rotation occurred at the transverse axis and the mobile pylorus herniated in the chest through a large hiatal defect. Following a reduction of the volvulus through the use of a nasogastric tube, the patient underwent an elective laparoscopic repair. The mechanisms of volvulus with the relative diagnostic and therapeutic implications are discussed.
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| http://dx.doi.org/10.1007/s00595-003-2566-7 | DOI Listing |
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