A Case of Quadruple Gastric Cancer Within Upside Down Stomach Due to Esophageal Hiatal Hernia

Kawai, Satoru; Matsuura, Yutaka; Kouno, Hiroshi; Kitagawa, Yoshimi; Yamanaka, Hidetaka; Hiramatsu, Kiyoshi

doi:10.3919/jjsa.62.2_376

Cited by 7 publications

(6 citation statements)

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“…7 Table 1 summarizes the cases of esophageal hiatal hernia with gastric volvulus reported in Japan from 1998 to 2006, including our case. 7,[13][14][15][16][17][18][19][20][21][22][23][24][25] We found only one other report of an esophageal hiatal hernia with a gastric volvulus and strangulation of the esophagus and stomach. 8 Because our patient was shocked, an upper gastrointestinal series could not be performed, so we had to base our decisions on CT evaluation.…”

Section: Discussionmentioning

confidence: 96%

Successful treatment of acute esophageal necrosis caused by intrathoracic gastric volvulus: Report of a case

et al. 2009

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Gastric volvulus is a potentially lethal condition. We report a case of esophageal hiatal hernia with strangulation of the esophagus and stomach caused by gastric volvulus. A 79-year-old woman was admitted to our hospital in a state of shock, and investigations showed necrotic changes in most of her distal esophagus and gastric body. Thus, we performed an emergency total gastrectomy and transhiatal esophagectomy, followed 3 months later by successful reconstruction of the esophagus using the jejunum. Occasionally, a large hiatal hernia accompanies gastric volvulus; however, the extent of esophageal necrosis observed in this patient is very unusual. Although a large hiatal hernia is usually a chronic disorder, surgical treatment is recommended, considering the risk of serious complications.

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Section: Discussionmentioning

confidence: 96%

Successful treatment of acute esophageal necrosis caused by intrathoracic gastric volvulus: Report of a case

et al. 2009

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“…Tabo et al (2002) reported the upside-down stomach to be the extreme stage of the paraesophageal hiatal hernia. Kawai et al (2001) and Fujiwara et al (2001) reported that the upside-down Fig. 4 Two photographs (a, b) and a corresponding schema (c) of the celiac trunk and its tributaries.…”

Section: Discussionmentioning

confidence: 96%

“…Until recently, only 35 cases of esophageal hiatal hernia were reported in Japan from 1985 to 2005 (Ohshima et al 1985;Akamine et al 1989;Uoshima et al 1990;Matsui et al 1992;Izumi et al 1993;Ishii et al 1994;Kawashima et al 1994;Shimoda et al 1994;Kitamura et al 1996;Satoh et al 1996;Washio et al 1996;Matsuda et al 1997;Yoshida et al 1998;Morinaga et al 1998;Kinugasa et al 1998;Nagai and Hamaguchi 1999;Tanaka et al 1999;Idani et al 2000;Umezawa et al 2000;Ishihara et al 2001;Kawachi et al 2001;Kawai et al 2001;Kawano et al 2001;Koichi et al 2001;Murata et al 2001;Fujiwara et al 2001;Hasebe et al 2002;Tabo et al 2002;Ito et al 2003;Tsuji et al 2003;Tanaka et al 2004;Oku et al 2005;Okabe et al 2006). These cases are classified into four types of protrusion of the stomach; three cases of the sliding type, ten cases of the paraesophageal type, ten cases of the mixed type, and twelve other cases that are yet to be classified.…”

Section: Introductionmentioning

confidence: 97%

Observation of the upside-down stomach esophageal hiatal hernia in a cadaver

et al. 2009

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In the course of a cadaveric dissection in 2006, an upside-down stomach esophageal hiatal hernia was observed in a 91-year-old Japanese woman with kyphosis who had died of brain infarction. There are 31 clinical reports of upside-down stomach esophageal hiatal hernia, but the vascular system was not analyzed in any of these cases. In this specimen, most of the stomach except the pyloric region passed through the esophageal hiatus (approximately 40 mm in diameter) with the greater omentum and into the hernial sac located dorsal to the heart in the thoracic cavity. The greater omentum was raised on the ventral region in the hernial sac and spread toward the upper abdomen through the esophageal hiatus from the sac, without any adhesion in the abdominal cavity. The tail of the pancreas and the spleen were located near the esophageal hiatus. No abnormality was observed in the heart or lungs. The celiac trunk and its main branches were normal, but the left and right gastric arteries, the short gastric artery and the left gastroepiploic artery passed into the hernial sac through the esophageal hiatus. This specimen was classified as the sliding type of esophageal hiatal hernia. We consider the excessive kyphosis of the vertebral column to likely be associated with the formation of such a highly advanced hernia.

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“…Therefore, detection of gastric cancer according to symptoms in patients with upside-down stomach, in both the early and delayed stages, appears to be difficult. Moreover, in advanced esophageal hiatal hernia with upside-down stomach, the accuracy of upper endoscopy and barium meal examination may be not high due to advanced shaft twist and stomach transformation [ 9 ]. In patients with advanced esophageal hiatal hernia and upside-down stomach, there is a high risk for overlooking the lesion itself and possible multiple lesions, and misdiagnosing of the depth of invasion of the lesion.…”

Section: Discussionmentioning

confidence: 99%

Difficult Diagnosis and Surgical Procedure for Scirrhous Gastric Cancer Complicated by Upside-Down Stomach: A Case Report

et al. 2020

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A Case of Quadruple Gastric Cancer Within Upside Down Stomach Due to Esophageal Hiatal Hernia

Cited by 7 publications

References 1 publication

Successful treatment of acute esophageal necrosis caused by intrathoracic gastric volvulus: Report of a case

Successful treatment of acute esophageal necrosis caused by intrathoracic gastric volvulus: Report of a case

Observation of the upside-down stomach esophageal hiatal hernia in a cadaver

Difficult Diagnosis and Surgical Procedure for Scirrhous Gastric Cancer Complicated by Upside-Down Stomach: A Case Report

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