Acute Gastric Volvulus in the Setting of a Paraesophageal Hernia With Hemoperitoneum: Emergency Department Diagnosis and Management

Authors

Derrick Huang, HCA HealthcareFollow
Michael Hughes, HCA HealthcareFollow
Samyr Elbadri, HCA HealthcareFollow
Michael Falgiani, HCA HealthcareFollow
Latha Ganti, HCA HealthcareFollow

Division

North Florida

Hospital

Ocala Regional Medical Center

Document Type

Case Report

Publication Date

12-14-2021

Keywords

abdominal pain, hemoperitoneum, paraesophageal hernia, emergency medicine, gastric volvulus

Disciplines

Digestive System Diseases | Emergency Medicine

Abstract

Acute gastric volvulus is an uncommon emergency department (ED) presentation associated with high mortality from gastric ischemia and perforation. The diagnosis of this pathology is complicated by its intermittent symptoms and similarity in presentation to more common disorders encountered in the ED. Assessing for key risk factors, such as the presence of a hiatal hernia, and the use of expeditious imaging modalities, such as bedside radiography and point-of-care ultrasonography, are essential in rapid diagnosis and time-sensitive, definitive surgical intervention.

Publisher or Conference

Cureus

Recommended Citation

Huang D, Hughes M, Elbadri S, Falgiani M, Ganti L. Acute Gastric Volvulus in the Setting of a Paraesophageal Hernia With Hemoperitoneum: Emergency Department Diagnosis and Management. Cureus. 2014;13(12):e20404. https://doi.org/10.7759/cureus.20404