Laparoscopic management of chronic gastric volvulus: A case report


Ozcinar B. , Emek E., Kecer M., Parlak M., Asoglu O.

CENTRAL EUROPEAN JOURNAL OF MEDICINE, cilt.5, ss.132-135, 2010 (SCI İndekslerine Giren Dergi) identifier identifier

  • Cilt numarası: 5 Konu: 1
  • Basım Tarihi: 2010
  • Doi Numarası: 10.2478/s11536-009-0053-2
  • Dergi Adı: CENTRAL EUROPEAN JOURNAL OF MEDICINE
  • Sayfa Sayıları: ss.132-135

Özet

Gastric volvulus (GV) is a rare pathological entity, which is difficult to diagnose, may rapidly progress to infarction and necrosis of the stomach, and can be fatal. A 68-year-old woman presented to the surgical outpatient clinic of Istanbul University, Istanbul Faculty of Medicine, in August, 2006, with a 3-month history of nausea, vomiting, and recurrent abdominal pain. Physical examination revealed epigastric tenderness, but otherwise within normal limits. An urgent abdominal computed tomographic examination revealed only a paraesophageal hernia. A mesenteroaxial gastric volvulus with a large paraesophageal hernia was found on laparoscopy. The surgical procedure involved derotation of the stomach and closure of the paraesophageal hernia with a dual V-shaped graft gastropexy to the triangular ligament of liver; in addition, a laparoscopic cholecystectomy was performed. We found that derotation of stomach and gastropexy to the triangular ligament is technically easy to perform and is a safe procedure in the treatment of gastric volvulus.