Gastric Cancer Arising from an Upside-Down Stomach through a Paraesophageal Hiatal Hernia

We report the rare case of an elderly patient with an advanced gastric cancer arising from an upside-down stomach through a paraesophageal hiatal hernia (PEH). An 82-year-old man presented with appetite loss and anemia. Upper gastrointestinal endoscopy revealed a type 1 tumor located in the middle b...

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Autores principales: Mimatsu, Kenji, Kano, Hisao, Oida, Takatsugu, Kawasaki, Atsushi, Fukino, Nobutada, Kida, Kazutoshi, Kuboi, Youichi, Amano, Sadao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2014
Materias:
Published online: March, 2014
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3995379/
https://www.ncbi.nlm.nih.gov/pubmed/24761138
http://dx.doi.org/10.1159/000361012
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author Mimatsu, Kenji
Kano, Hisao
Oida, Takatsugu
Kawasaki, Atsushi
Fukino, Nobutada
Kida, Kazutoshi
Kuboi, Youichi
Amano, Sadao
author_facet Mimatsu, Kenji
Kano, Hisao
Oida, Takatsugu
Kawasaki, Atsushi
Fukino, Nobutada
Kida, Kazutoshi
Kuboi, Youichi
Amano, Sadao
author_sort Mimatsu, Kenji
collection PubMed
description We report the rare case of an elderly patient with an advanced gastric cancer arising from an upside-down stomach through a paraesophageal hiatal hernia (PEH). An 82-year-old man presented with appetite loss and anemia. Upper gastrointestinal endoscopy revealed a type 1 tumor located in the middle body of the stomach. An upper gastrointestinal series and computed tomography showed organoaxial rotation of the stomach, which was located in the mediastinum, through a PEH, indicating an upside-down stomach. The preoperative diagnosis was gastric cancer arising from an upside-down stomach through a PEH. The patient underwent total gastrectomy with lymph node dissection and closure of the hernial orifice. Although a large PEH is a chronic disorder, gastric malignancies should be considered in patients with PEH manifested as an upside-down stomach due to its anatomical characteristics, and careful preoperative diagnosis is mandatory.
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spelling pubmed-39953792014-04-23 Gastric Cancer Arising from an Upside-Down Stomach through a Paraesophageal Hiatal Hernia Mimatsu, Kenji Kano, Hisao Oida, Takatsugu Kawasaki, Atsushi Fukino, Nobutada Kida, Kazutoshi Kuboi, Youichi Amano, Sadao Case Rep Gastroenterol Published online: March, 2014 We report the rare case of an elderly patient with an advanced gastric cancer arising from an upside-down stomach through a paraesophageal hiatal hernia (PEH). An 82-year-old man presented with appetite loss and anemia. Upper gastrointestinal endoscopy revealed a type 1 tumor located in the middle body of the stomach. An upper gastrointestinal series and computed tomography showed organoaxial rotation of the stomach, which was located in the mediastinum, through a PEH, indicating an upside-down stomach. The preoperative diagnosis was gastric cancer arising from an upside-down stomach through a PEH. The patient underwent total gastrectomy with lymph node dissection and closure of the hernial orifice. Although a large PEH is a chronic disorder, gastric malignancies should be considered in patients with PEH manifested as an upside-down stomach due to its anatomical characteristics, and careful preoperative diagnosis is mandatory. S. Karger AG 2014-03-27 /pmc/articles/PMC3995379/ /pubmed/24761138 http://dx.doi.org/10.1159/000361012 Text en Copyright © 2014 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.
spellingShingle Published online: March, 2014
Mimatsu, Kenji
Kano, Hisao
Oida, Takatsugu
Kawasaki, Atsushi
Fukino, Nobutada
Kida, Kazutoshi
Kuboi, Youichi
Amano, Sadao
Gastric Cancer Arising from an Upside-Down Stomach through a Paraesophageal Hiatal Hernia
title Gastric Cancer Arising from an Upside-Down Stomach through a Paraesophageal Hiatal Hernia
title_full Gastric Cancer Arising from an Upside-Down Stomach through a Paraesophageal Hiatal Hernia
title_fullStr Gastric Cancer Arising from an Upside-Down Stomach through a Paraesophageal Hiatal Hernia
title_full_unstemmed Gastric Cancer Arising from an Upside-Down Stomach through a Paraesophageal Hiatal Hernia
title_short Gastric Cancer Arising from an Upside-Down Stomach through a Paraesophageal Hiatal Hernia
title_sort gastric cancer arising from an upside-down stomach through a paraesophageal hiatal hernia
topic Published online: March, 2014
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3995379/
https://www.ncbi.nlm.nih.gov/pubmed/24761138
http://dx.doi.org/10.1159/000361012
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