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Hiatus hernia with gastric volvulus and duodenum component: a case report. 2021

F Y Gimenez, and L A R Takahashi, and G G Oliveira, and J Y Myaki, and M E Inaba, and F P A Feitosa, and D Adão
General Surgery, Federal University of São Paulo, Durval Clemente Street, São Paulo, Brazil.

Gastric volvulus is a rare condition defined as an abnormal stomach rotation around its axis, which usually presents in children under a year or in adults in their fifth decade. Cases over 70-year-old are rare and only 30% of cases of this disease present with mesenteric-axial rotation of the stomach. In this article, we report a rare case of mesenteroaxial gastric volvulus associated with hiatal hernia, in an 88-year-old woman, who presented to the Emergency Department of our institution with bowel obstruction symptoms. The diagnosis could be difficult due to the rarity of the pathology, the patient's age outside the expected incidence age range and the less common mesenteroaxial presentation. This report highlights the importance of the differential diagnosis of gastric volvulus as a cause of intestinal obstruction.

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