Stomach Volvulus: a rare cause of upper gastrointestinal obstruction
DOI:
https://doi.org/10.35954/SM2018.37.1.8Keywords:
Stomach Volvulus diagnosis, Laparoscopy; Gastric Outlet Obstruction; Stomach VolvulusAbstract
Gastric volvulus is a rare cause for upper digestive obstruction. It is potentially lethal and requires an urgent treatment. Its low frequency and non specific symptoms result in a late diagnosis, frequently leading to local or systemic complications. Its classic onset shows the Bortchard triad (epigastric pain, retching without vomitting and the impossibility to advance a nasogastric tube) which is observed in 70% of the patients. It is generally associated to anatomic alterations such as the hiatal hernia. A CT scan is essential to complete the etiologic diagnosis. Surgical treatment intended for gastric devolvulation and to prevent recurrences, achieves good results and can be performed through a minimally invasive procedure.
It is presented the case of a female patient with a gastric volvulus, diagnosed and treated laparoscopically in our Service.
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