Case Report
Volume: 4 | Issue: 9 | Published: Oct 11, 2020 | Pages: 319 - 322 | DOI: 10.24911/ejmcr/173-1593504015
Endoscopic reduction of gastric volvulus in a patient with hiatal hernia
Authors: Amrin M. Kharawala , Josiah McCain , Kevin Ruff
Article Info
Authors
Amrin M. Kharawala
Student, Medical College Baroda, Anandpura, Vadodara, Gujarat, India
Josiah McCain
MD, Department of Gastroenterology, Mayo Clinic, Scottsdale, Arizona, USA
Kevin Ruff
MD, Department of Gastroenterology, Mayo Clinic, Scottsdale, Arizona, USA
Publication History
Received: June 30, 2020
Revised: September 04, 2020
Accepted: September 14, 2020
Published: October 11, 2020
Abstract
Background: Gastric volvulus, characterized by twisting of the stomach over its axis, is an under-recognized complication of hiatal hernia. It is difficult to pass an endoscope through a volvulus, and hence, surgery is considered as the most common treatment modality. However, in this report, we provide a stepwise approach with images to provide therapeutic treatment via endoscopy with its role in the diagnosis of this condition. Case Presentation: We present the case of a 78-year-old female who presented with an acute episode of nausea and vomiting, associated with severe upper abdominal and mid-chest pain radiating to her back. Esophagogastroduodenoscopy showed the presence of gastric volvulus in the sac of a large hiatal hernia, which was confirmed on computed tomography. We avoided the need for an emergency surgery by successfully reducing the gastric volvulus via endoscopy under monitored anesthesia care and endotracheal intubation. Conclusion: Endoscopic reduction can be an effective therapy for the treatment of gastric volvulus, especially in patients who are poor surgical candidates.
Keywords: Endoscopy, esophagogastroduodenoscopy, dysphagia, abdominal pain, hiatal hernia, gastric volvulus, case report, green
