Abstract
We report cases of 3 patients showing upside down stomach, which is a rare disorder caused by esophageal hiatus hernia with gastric organoaxial volvulus. The first case is of a 77-year-old woman who presented with chest pain and vomiting. The second case is of an 83-year-old woman who presented with high fever, abdominal pain, vomiting, and diarrhea. The third case is of an 84-year-old woman with sudden syncope. Computed tomography (CT) showed that the stomach had rotated and invaginated into the lower mediastinum. Upper gastrointestinal radiography showed that the stomach was located in the thoracic cavity and that the pylorus was in an inverted position. On the basis of these findings, we made a diagnosis of upside down stomach and esophageal hiatus hernia and performed surgery in all cases. In all the 3 cases, esophageal hiatus was repaired, and gastropexy and fundoplication were performed. All the 3 patients were symptom tree after the operation.
