Gastric volvulus with a large bochdalek hernia in an adult successfully treated with emergency endoscopic reduction followed by elective laparoscopic mesh repair: A case study

We report a case of gastric volvulus with a large Bochdalek hernia successfully treated with emergency endoscopic reduction followed by elective laparoscopic mesh repair. The patient was a 71‐year‐old woman with no history of trauma. She was referred to our hospital because of nausea and vomiting af...

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Veröffentlicht in:Asian journal of endoscopic surgery 2016-11, Vol.9 (4), p.318-321
Hauptverfasser: Nishihara, Yuichi, Kawaguchi, Yoshiki, Urakami, Hidejiro, Seki, Shiko, Ohishi, Takashi, Isobe, Yoh, Matsumoto, Sumio
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container_end_page 321
container_issue 4
container_start_page 318
container_title Asian journal of endoscopic surgery
container_volume 9
creator Nishihara, Yuichi
Kawaguchi, Yoshiki
Urakami, Hidejiro
Seki, Shiko
Ohishi, Takashi
Isobe, Yoh
Matsumoto, Sumio
description We report a case of gastric volvulus with a large Bochdalek hernia successfully treated with emergency endoscopic reduction followed by elective laparoscopic mesh repair. The patient was a 71‐year‐old woman with no history of trauma. She was referred to our hospital because of nausea and vomiting after eating. Thoracic and abdominal CT showed gastric volvulus and a large Bochdalek hernia. The patient underwent emergency endoscopic reduction and elective laparoscopic surgery. The defect (10 × 12 cm) was reinforced with a Dual Mesh (expanded polytetrafluoroethylene) and fixed to the diaphragm with nonabsorbable sutures. The postoperative course was uneventful, and no complications or recurrence was found at the 2‐year follow‐up. The endoscopic reduction and elective laparoscopic procedure was performed successfully and resulted in significant clinical improvement in this case.
doi_str_mv 10.1111/ases.12309
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subjects Aged
Bochdalek hernia
Elective Surgical Procedures
Female
gastric volvulus
Hernias, Diaphragmatic, Congenital - complications
Hernias, Diaphragmatic, Congenital - diagnosis
Hernias, Diaphragmatic, Congenital - surgery
Herniorrhaphy
Humans
laparoscopic repair
Laparoscopy
Stomach Volvulus - etiology
Stomach Volvulus - surgery
Surgical Mesh
title Gastric volvulus with a large bochdalek hernia in an adult successfully treated with emergency endoscopic reduction followed by elective laparoscopic mesh repair: A case study
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