抄録
A 87-year-old woman with a medical history of chronic cardiac failure and Alzheimer’s dementia was admitted to our hospital with left femoral fracture. The 23rd hospitalization day, she presented with repeated vomiting. CT revealed prolapse of the stomach fundus-body into the thoracic cavity, and chest radiography showed gastrointestinal tract gas overlapping the cardiac shadow.
On the basis of the above findings, gastric volvulus associated with esophageal hiatus hernia was suspected. On the 25th day, upper gastrointestinal endoscopic reduction was attempted. Organoaxial volvulus of the stomach was observed and reduction was performed. Following the treatment, a contrast radiography showed smooth flow of the contrast media into the duodenum. Thereafter, the vomiting resolved. On the 74th day, she died of aggravated cardiac failure.
