• World J Surg Oncol · Jan 2013

    Case Reports

    Intrathoracic gastric volvulus as a severe, delayed surgical complication after left subphrenic peritonectomy and hyperthermic intraperitoneal chemotherapy (HIPEC) for advanced ovarian cancer.

    • Roberto Caronna, Paolo Sammartino, Maria Luisa Framarino, Bianca Maria Sollazzo, Roberto Luca Meniconi, and Piero Chirletti.
    • Department of Surgical Sciences "F, Durante", Policlinico Umberto I, Viale del Policlinico 155, 00161 Roma, Italy. roberto.caronna@uniroma1.it.
    • World J Surg Oncol. 2013 Jan 1;11:239.

    AbstractPatients with extensive peritoneal spread from advanced ovarian cancer often undergo several upper abdominal surgical procedures including subphrenic peritonectomy to obtain optimal cytoreduction. The most common complications are pleural effusions, pancreatic leakage and endoabdominal collections. This case report describes an unusual complication, a diaphragmatic hernia with an intrathoracic gastric volvulus developing four months after the patient underwent left subphrenic peritonectomy during interval debulking surgery and hyperthermic intraperitoneal chemotherapy for advanced ovarian cancer.

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