Struggling with a Gastric Volvulus Secondary to a Type IV Hiatal Hernia

Author:

George Dafnomilis1,Apostolos Pappas V.1,Athanasios Panoutsopoulos2,Emmanuel Lagoudianakis E.3,Nikolaos Koronakis E.3,Nikolaos Panagiotopoulos3,Charalampos Seretis3,George Karanikas3,Andreas Manouras J.4

Affiliation:

1. Surgical Department, Argos General Hospital, 21200 Argos, Greece

2. Department Internal Medicine, Argos General Hospital, 21200 Argos, Greece

3. Second Department of Surgery, 417 NIMTS-Nosileutiko Idrima Metohikou Tameiou Stratou (Military Veterans' Fund Hospital), Athens, Greece

4. 1st Department of Propaedeutic Surgery, Hippokrateion Hospital, Athens Medical School, University of Athens, Q. Sofias 114 Avenue, 11527 Athens, Greece

Abstract

Type IV hiatal hernias are characterized by herniation of the stomach along with associated viscera such as the spleen, colon, small bowel, and pancreas through the esophageal hiatus. They are relatively rare, representing only about 5%–7% of all hernias, and can be associated with severe complications. We report a 71-year-old veteran wrestler who presented to our department with a type IV paraesophageal hernia containing a gastric volvulus and treated successfully with emergency operation.

Publisher

Hindawi Limited

Subject

General Medicine

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