Urgent surgical treatment of gastric volvulus related to upside-down stomach syndrome

Česká verze

Authors: L. Hána ¹; M. Kasalický ¹; E. Koblihová ¹; Š. Suchánek ²; P. Horažďovský ³; M. Ryska ¹
Authors place of work: Chirurgická klinika 2. LF Univerzity Karlovy a ÚVN, Praha přednosta: prof. MUDr. M. Ryska, CSc. ¹; Oddělení gastrointestinální endoskopie, Interní klinika 1. LF Univerzity Karlovy a ÚVN - Vojenská fakultní nemocnice Praha přednosta: prof. MUDr. M. Zavoral, Ph. D. ²; Oddělení hrudní chirurgie, Thomayerova nemocnice Praha primář: MUDr. V. Hytych, Ph. D. ³
Published in the journal: Rozhl. Chir., 2015, roč. 94, č. 12, s. 531-534.
Category: Kazuistika

Summary

Upside-down stomach syndrome is a rare type of a large paraoesophageal hiatal hernia, which requires an immediate surgical treatment in case of incarceration. The authors present a case report of a 53-year-old male patient with gastric volvulus related to the upside-down stomach syndrome. Surgical treatment was complicated by an injury to distal oesophagus, which was successfully treated using a self-expandable metallic stent among other methods. Despite the complicated postoperative course with a necessity of reoperation, insertion of an oesophageal stent, thoracotomy for a mediastinal abscess and secondary healing of the laparotomy, the patient was discharged in a good condition with healed oesophageal perforation and laparotomy after 52 days.

Key words:
hiatal hernia – upside-down stomach syndrome – self-expandable metallic stent (SEMS)

Zdroje

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