Korean J Gastroenterol.  2013 Jul;62(1):75-77. 10.4166/kjg.2013.62.1.75.

Chronic Gastric Volvulus by Diaphragmatic Hernia and Gastroparesis

Affiliations
  • 1Department of Internal Medicine, Eulji University School of Medicine, Seoul, Korea. jyj1138@eulji.ac.kr

Abstract

No abstract available.


MeSH Terms

Aged
Chronic Disease
Female
Gastroparesis/complications/*diagnosis/radiography
Gastroscopy
Hernia, Diaphragmatic/complications/*diagnosis
Humans
Stomach Volvulus/*diagnosis/etiology/surgery
Tomography, X-Ray Computed

Figure

  • Fig. 1. Endoscopic findings. (A) The large amount of gastric juice and food was seen in the stomach. Endoscopic approach from the fundus to lower body was impossible. White arrow is pointing direction to the lower body. (B) The entry of hernia sac (black arrow) was seen at the fundus.

  • Fig. 2. Computed tomography findings. (A) It showed marked distension of the upper body and fundus of the stomach and air-fluid level. Lower part of the stomach was collapsed and twisted (black arrow). (B) The hernia sac was seen in the thoracic cavity (white arrow).

  • Fig. 3. (A) Preoperative upper gastrointestinal series. It showed hernia sac, dilated upper body and fundus with underflow of barium, and twisted and collapsed lower body and antrum. (B) Follow-up of postoperative upper gastrointestinal series. It showed normal anatomical structure of stomach without herniated sac.


Reference

References

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