ADULT HIATAL HERNIA OF THE ESOPHAGUS WITH GASTRIC VOLVULUS IN AN ORGANOAXIAL FORM-REPORT OF A CASE-

Abstract

This paper presents a successfully surgical case of esophageal hiatal hermia in which the entire stomach and a large section of transverse colon were incarcerated with gastric volvulus in an organoaxial form, that is extremely rare.
A 70-year-old woman was admitted to Umezawa clinic because of anterior chest pain, chest oppression and dyspnea after meals. Chest roentogenogram showed a gastric air bubble with fluid level in the posterior mediastinum. So, an upper gastrointestinal series and gastrointestinal endoscopy were conducted. The patient was diagnosed as having an esophageal hiatal hernia with gastric volvulus in an organoaxial form, and was admitted to our hospital. CT and a lower gastrointestinal roentgenograms revealed on esophageal hiatal hernia in which the entire stomach and a large section of transverse colon were incarcerated with gastric volvulus in an organoaxial form.
Reduction suture of the right loop of the esophageal hiatus, Nissen procedure, and pyloroplasty were performed.
No postoperative complication occurred. The patient was discharged from our hospital on the 18th hospital day. She is free symptom and enjoying daily life.