Organoaxial gastric volvulus

Case contributed by Daniel Moreira Furlanetto

Presentation

76 year-old male presenting with progressive dysphagia and a history of a long known untreated hiatus hernia.

Patient Data

Age: 76
Gender: Male
Modality: X-ray

Large retrocardiac mass with air-fluid level.

Pulmonary findings suggest COPD.

Modality: Fluoroscopy

Large hiatal hernia associated with inversion of the greater and lesser curvatures.

Gastroesophageal reflux is also observed.

Case Discussion

Relatively rare clinical syndrome characterized by torsion of part or all of the stomach. It can occur at any age. The most significant single associated condition is gastric herniation either through the esophageal hiatus or a diaphragmatic defect. There are two types: organoaxial, in which the stomach rotates along its long axis, and mesenteroaxial, rotating along a short axis joining the greater and lesser curvatures.

This case presents the typical patient with a organoaxial volvulus: elderly with progressive dysphagia and a long history of neglected hernia.

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Case Information

rID: 40299
Case created: 16th Oct 2015
Last edited: 19th Oct 2015
Inclusion in quiz mode: Included

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