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Intrathoracic Stomach and Partial Transverse Colon with Gastric Volvulus.

Galanopoulos M, Tsoukalas N - ACG Case Rep J (2015)

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology, 401 Army General Hospital, Athens, Greece.

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An 80-year-old woman with a medical history of gastroesophageal reflux disease (GERD) and chronic obstructive pulmonary disease (COPD) presented to our department with 5 days of vomiting... She complained of dyspnea and significant weight loss (15 kg) over the last 2 years... A nasogastric tube was placed with extreme difficulty, due to persistent vomiting episodes... These findings were attributed to an intrathoracic location of the stomach and part of transverse colon... The classic triad of retching, severe and constant epigastric pain, and difficulty in inserting a nasogastric tube suggests an acute gastric volvulus... Our patient underwent exploratory laparotomy to repair the stomach, and surgery revealed a large hernia sac with incarceration of the entire stomach and part of transverse colon... Author contributions: M... Galanopoulos wrote the article and is the article guarantor... Tsoukalas revised the article... Financial disclosure: None to report... Informed consent was obtained for this case report.

No MeSH data available.


Related in: MedlinePlus

Endoscopic image showing extreme twisting of the stomach (arrow). The torsion of the stomach twisted the fundus and changed the anatomical structure.
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Figure 2: Endoscopic image showing extreme twisting of the stomach (arrow). The torsion of the stomach twisted the fundus and changed the anatomical structure.

Mentions: An 80-year-old woman with a medical history of gastroesophageal reflux disease (GERD) and chronic obstructive pulmonary disease (COPD) presented to our department with 5 days of vomiting. She complained of dyspnea and significant weight loss (15 kg) over the last 2 years. On admission, blood pressure, heart rate, respiration rate, and body temperature were within normal limits. Laboratory testing, including chemistries and complete blood count, were normal. Physical examination of abdomen revealed no distention or tenderness, and her bowel sounds were normal with no defecation problems. A nasogastric tube was placed with extreme difficulty, due to persistent vomiting episodes. Chest radiography showed softtissue lesions above the diaphragm and large bubbles that overlapped the middle and lower mediastinum, causing the disappearance of the cardiac shadow and the left lower lung field (Figure 1). These findings were attributed to an intrathoracic location of the stomach and part of transverse colon. Gastroscopy demonstrated a massive amount of fluid proximal to a gastric volvulus causing obstruction (Figure 2).


Intrathoracic Stomach and Partial Transverse Colon with Gastric Volvulus.

Galanopoulos M, Tsoukalas N - ACG Case Rep J (2015)

Endoscopic image showing extreme twisting of the stomach (arrow). The torsion of the stomach twisted the fundus and changed the anatomical structure.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4612744&req=5

Figure 2: Endoscopic image showing extreme twisting of the stomach (arrow). The torsion of the stomach twisted the fundus and changed the anatomical structure.
Mentions: An 80-year-old woman with a medical history of gastroesophageal reflux disease (GERD) and chronic obstructive pulmonary disease (COPD) presented to our department with 5 days of vomiting. She complained of dyspnea and significant weight loss (15 kg) over the last 2 years. On admission, blood pressure, heart rate, respiration rate, and body temperature were within normal limits. Laboratory testing, including chemistries and complete blood count, were normal. Physical examination of abdomen revealed no distention or tenderness, and her bowel sounds were normal with no defecation problems. A nasogastric tube was placed with extreme difficulty, due to persistent vomiting episodes. Chest radiography showed softtissue lesions above the diaphragm and large bubbles that overlapped the middle and lower mediastinum, causing the disappearance of the cardiac shadow and the left lower lung field (Figure 1). These findings were attributed to an intrathoracic location of the stomach and part of transverse colon. Gastroscopy demonstrated a massive amount of fluid proximal to a gastric volvulus causing obstruction (Figure 2).

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology, 401 Army General Hospital, Athens, Greece.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

An 80-year-old woman with a medical history of gastroesophageal reflux disease (GERD) and chronic obstructive pulmonary disease (COPD) presented to our department with 5 days of vomiting... She complained of dyspnea and significant weight loss (15 kg) over the last 2 years... A nasogastric tube was placed with extreme difficulty, due to persistent vomiting episodes... These findings were attributed to an intrathoracic location of the stomach and part of transverse colon... The classic triad of retching, severe and constant epigastric pain, and difficulty in inserting a nasogastric tube suggests an acute gastric volvulus... Our patient underwent exploratory laparotomy to repair the stomach, and surgery revealed a large hernia sac with incarceration of the entire stomach and part of transverse colon... Author contributions: M... Galanopoulos wrote the article and is the article guarantor... Tsoukalas revised the article... Financial disclosure: None to report... Informed consent was obtained for this case report.

No MeSH data available.


Related in: MedlinePlus