Acute intrathoracic gastric volvulus from a diaphragmatic hernia after left splenopancreatectomy: Report of a case

Mario Testini, Angelo Vacca, Germana Lissidini, Beatrice Di Venere, Angela Gurrado, Michele Loizzi

Research output: Contribution to journalArticlepeer-review

Abstract

Intrathoracic gastric volvulus is a rare event. It occurs when the stomach undergoes organoaxial torsion in the chest, caused either by concomitant enlargement of the hiatus or by a diaphragmatic hernia. A delay in diagnosis and treatment can result in fatal complications such as gastric ischemia, perforation, and hemorrhage. We report a case of intrathoracic localization of an acute and incarcerated organoaxial gastric volvulus caused by a left-sided diaphragmatic hernia resulting from a diaphragmatic injury. The patient had undergone a left splenopancreatectomy 4 years earlier for non-Hodgkin's lymphoma. We performed an emergency left thoracotomy with reduction of the acute volvulus, resection of the adhesions, and exeresis of an inflammatory mass from the omentum, with good results. The mechanisms of volvulus and diaphragmatic hernia with the relative diagnostic and therapeutic implications are discussed after this case report.

Original languageEnglish
Pages (from-to)981-984
Number of pages4
JournalSurgery Today
Volume36
Issue number11
DOIs
Publication statusPublished - Nov 2006

Keywords

  • Diaphragmatic hernia
  • Gastric volvulus
  • Splenopancreatectomy

ASJC Scopus subject areas

  • Surgery

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