Gastric volvulus with diaphragmatic hernia

Case contributed by Dr Vikash Rustagi

Presentation

Complaining of sudden onset pain in abdomen and vomiting for 1 day.

Patient Data

Age: 60 years
Gender: Male

Plain frontal radiograph shows a radiolucency in the lower zone of left hemithorax. On barium meal examination it was seen that stomach is rotated perpendicular to its long axis and part of it projecting into the left hemithorax. There is upward displacement of antrum and pylorus with downward displacement of the gastroesophageal junction (crossing over). These features represent a mesentricoaxial type of gastric volvulus with diaphragmatic herniation.

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Case information

rID: 62049
Published: 30th Jul 2018
Last edited: 1st Aug 2018
Inclusion in quiz mode: Included
Institution: topiwala national medical college ,mumbai

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