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Case Reports
Gastric volvulus with diaphragmatic hernia presenting with unexplained weight loss: a delayed diagnosis.
- S Ghatak.
- School of Digestive and Liver Diseases, Seth Sukhlal Karnani Memorial Hospital and Institute of Postgraduate Medical Education and Research, Acharya Jagadish Chandra Bose Road, Kolkata 700020, West Bengal, India. drsupriyo@yahoo.co.in
- Singap Med J. 2011 Jan 1;52(1):e4-6.
AbstractGastric volvulus (GV) is a rare condition that presents with epigastric pain, retching and at times, vomiting. There are two types of GV: organoaxial and mesenteroaxial. We report the case of a 49-year-old woman with chronic mesenteroaxial volvulus with left-sided diaphragmatic defect. She presented with significant weight loss over a period of two years, with nonspecific symptoms of heartburn, occasional mild epigastric pain and anorexia. The patient was diagnosed with barium meal and contrast-enhanced computed tomography imaging. She was treated with open repair of diaphragmatic defect and anterior gastropexy. She was asymptomatic and had gained weight at the six-month follow-up.
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