Laparoscopic management of chronic gastric volvulus: A case report

• Authors: Beyza Ozcinar , Ertan Emek , Mustafa Kecer , Mesut Parlak , Oktar Asoglu
• Languages of publication: EN

Abstracts

EN

Gastric volvulus (GV) is a rare pathological entity, which is difficult to diagnose, may rapidly progress to infarction and necrosis of the stomach, and can be fatal. A 68-year-old woman presented to the surgical outpatient clinic of Istanbul University, Istanbul Faculty of Medicine, in August, 2006, with a 3-month history of nausea, vomiting, and recurrent abdominal pain. Physical examination revealed epigastric tenderness, but otherwise within normal limits. An urgent abdominal computed tomographic examination revealed only a paraesophageal hernia. A mesenteroaxial gastric volvulus with a large paraesophageal hernia was found on laparoscopy. The surgical procedure involved derotation of the stomach and closure of the paraesophageal hernia with a dual V-shaped graft gastropexy to the triangular ligament of liver; in addition, a laparoscopic cholecystectomy was performed. We found that derotation of stomach and gastropexy to the triangular ligament is technically easy to perform and is a safe procedure in the treatment of gastric volvulus.

Keywords

EN

Gastric volvulus; Laparoscopic management; Triangular ligament; Gastropexy

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2010
• Volume: 5
• Issue: 1
• Pages: 132-135

Dates

published

1 - 2 - 2010

online

29 - 1 - 2010

Contributors

author

Beyza Ozcinar

• General Surgery Department, Istanbul University, Istanbul Faculty of Medicine, 34390, Istanbul, Turkey

author

Ertan Emek

• General Surgery Department, Istanbul University, Istanbul Faculty of Medicine, 34390, Istanbul, Turkey

author

Mustafa Kecer

• General Surgery Department, Istanbul University, Istanbul Faculty of Medicine, 34390, Istanbul, Turkey

author

Mesut Parlak

• General Surgery Department, Istanbul University, Istanbul Faculty of Medicine, 34390, Istanbul, Turkey

author

Oktar Asoglu

• General Surgery Department, Istanbul University, Istanbul Faculty of Medicine, 34390, Istanbul, Turkey

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Identifiers

DOI

10.2478/s11536-009-0053-2