Cargando…
Perforated mediastinal gastric volvulus: an uncommon complication of hiatal hernia
A woman in her 50s was admitted to the emergency department with a 3-day history of abdominal pain, mainly in the right hypochondrium, radiating to the back, associated with postprandial vomiting and dysphagia. The abdominal ultrasound study found no abnormalities. Laboratory tests showed increased...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9991572/ https://www.ncbi.nlm.nih.gov/pubmed/36896157 http://dx.doi.org/10.1093/jscr/rjad102 |
_version_ | 1784902180026712064 |
---|---|
author | Schneider, Mateus Henrique Solis-Pazmino, Paola Maldonado, Pedro Hamaoui, Mohamed |
author_facet | Schneider, Mateus Henrique Solis-Pazmino, Paola Maldonado, Pedro Hamaoui, Mohamed |
author_sort | Schneider, Mateus Henrique |
collection | PubMed |
description | A woman in her 50s was admitted to the emergency department with a 3-day history of abdominal pain, mainly in the right hypochondrium, radiating to the back, associated with postprandial vomiting and dysphagia. The abdominal ultrasound study found no abnormalities. Laboratory tests showed increased C-reactive protein levels, creatinine and high white blood cell count without a left shift. Abdominal computed tomography scan exhibited mediastinal herniation, twist and perforation of the gastric fundus associated with air-fluid levels in the lower mediastinum. The patient underwent diagnostic laparoscopy requiring laparotomy conversion due to hemodynamic instability related to the pneumoperitoneum. During the intensive care unit (ICU) stay, thoracoscopy with pulmonary decortication was performed to treat complicated pleural effusion. After ICU and standard infirmary bed recovery, the patient was discharged from the hospital. This report illustrates a case of perforated gastric volvulus as the cause of nonspecific abdominal pain. |
format | Online Article Text |
id | pubmed-9991572 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-99915722023-03-08 Perforated mediastinal gastric volvulus: an uncommon complication of hiatal hernia Schneider, Mateus Henrique Solis-Pazmino, Paola Maldonado, Pedro Hamaoui, Mohamed J Surg Case Rep Case Report A woman in her 50s was admitted to the emergency department with a 3-day history of abdominal pain, mainly in the right hypochondrium, radiating to the back, associated with postprandial vomiting and dysphagia. The abdominal ultrasound study found no abnormalities. Laboratory tests showed increased C-reactive protein levels, creatinine and high white blood cell count without a left shift. Abdominal computed tomography scan exhibited mediastinal herniation, twist and perforation of the gastric fundus associated with air-fluid levels in the lower mediastinum. The patient underwent diagnostic laparoscopy requiring laparotomy conversion due to hemodynamic instability related to the pneumoperitoneum. During the intensive care unit (ICU) stay, thoracoscopy with pulmonary decortication was performed to treat complicated pleural effusion. After ICU and standard infirmary bed recovery, the patient was discharged from the hospital. This report illustrates a case of perforated gastric volvulus as the cause of nonspecific abdominal pain. Oxford University Press 2023-03-07 /pmc/articles/PMC9991572/ /pubmed/36896157 http://dx.doi.org/10.1093/jscr/rjad102 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Schneider, Mateus Henrique Solis-Pazmino, Paola Maldonado, Pedro Hamaoui, Mohamed Perforated mediastinal gastric volvulus: an uncommon complication of hiatal hernia |
title | Perforated mediastinal gastric volvulus: an uncommon complication of hiatal hernia |
title_full | Perforated mediastinal gastric volvulus: an uncommon complication of hiatal hernia |
title_fullStr | Perforated mediastinal gastric volvulus: an uncommon complication of hiatal hernia |
title_full_unstemmed | Perforated mediastinal gastric volvulus: an uncommon complication of hiatal hernia |
title_short | Perforated mediastinal gastric volvulus: an uncommon complication of hiatal hernia |
title_sort | perforated mediastinal gastric volvulus: an uncommon complication of hiatal hernia |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9991572/ https://www.ncbi.nlm.nih.gov/pubmed/36896157 http://dx.doi.org/10.1093/jscr/rjad102 |
work_keys_str_mv | AT schneidermateushenrique perforatedmediastinalgastricvolvulusanuncommoncomplicationofhiatalhernia AT solispazminopaola perforatedmediastinalgastricvolvulusanuncommoncomplicationofhiatalhernia AT maldonadopedro perforatedmediastinalgastricvolvulusanuncommoncomplicationofhiatalhernia AT hamaouimohamed perforatedmediastinalgastricvolvulusanuncommoncomplicationofhiatalhernia |