Volvulus of the stomach

Gastric volvulus following left pneumonectomy in an adolescent patient

“…Intrathoracic herniation of the stomach followed by volvulus has been described with patients who have hiatal hernia [6, 9]. However, in the absence of hiatal hernia, gastric volvulus in the abdominal cavity is more likely and may be the result of phrenic nerve dissection and/or elevation of the left hemidiaphragm subsequently moving the tethered fundus of the stomach via its attachment to the gastrosplenic ligament [8, 11]. …”

“…While multiple instances of gastric volvulus from these various causes have been observed, to our knowledge, only seven published cases (in English) of gastric volvulus have been identified after pulmonary resection (see Table) [6–11, 14]. The median age of these patients was 61 years (range, 33–75 years) with a median time between pneumonectomy and presentation of gastric volvulus of 1 year (range, 1 day – 33 years).…”

“…The median age of these patients was 61 years (range, 33–75 years) with a median time between pneumonectomy and presentation of gastric volvulus of 1 year (range, 1 day – 33 years). The majority of these case reports describe recognition of gastric volvulus and prompt surgical correction without complication; however, a delay of surgery can result in progression to devastating morbidities including gastric ischemia, small bowel ischemia, return visits to the operating room, and mortality in some cases [8, 11]. …”

“…Gastric volvulus has been associated with diaphragmatic eventration, congenital diaphragmatic hernia, intestinal malrotation, wandering spleen, asplenism, and hiatal hernia [5]. Although gastric volvulus following pneumonectomy has been described in the literature, the reports are limited to patients over 30 years old [7–11]. This report describes the history, treatment, and outcome of an adolescent patient who presented with mesenteroaxial gastric volvulus 13 years after undergoing left pneumonectomy.…”

Organo - Axial Volvulus of the Stomach with Diaphragmatic Eventration

“…Iron deficiency anemia or upper gastrointestinal hemorrhage may occur due to esophagitis following reflux. Gastric ulceration is caused by localized ischemia and acidity within the herniated stomach or mucosal congestion due to venous obstruction of the herniated stomach 8 ) . Angina-like pain and electrocardiographic abnormalities may make the differential diagnosis difficult in the elderly 9 ) .…”