Floppy fundus syndrome

Case contributed by Dr Yi-Jin Kuok

Presentation

Post-prandial pain. Strangulated hiatal hernia?

Patient Data

Age: 70
Gender: Male
CT

Fundus lies below the level of the level of the intrathoracic stomach

Most strangulated  gastric volvuli are completely intrathoracic - this is not

Most strangulated gastric volvuli demonstrate dilated stomach and dilated esophagus - this does not

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