Chronic Mesentero-Axial Gastric Volvulus Associated with a Parahiatal Diaphragmatic Hernia: A Rare Entity

  • Vivek Agrawal
  • Sambhav GuptaEmail author
Images in Surgery


Gastric volvulus, a rare entity, seldom presents with diaphragmatic hernia and is usually missed during preliminary workup (Demmy et al. in Ann Thorac Surg [Internet] 58(1):226–227, 2010). We present the case of a 55-year-old lady who presented with vomiting, pain upper abdomen, heartburns, and episodic unproductive retching for the past 6 months. The diagnosis of diaphragmatic hernia was made on erect chest X-ray and the barium study findings. Intraoperatively, a mesentero-axial gastric volvulus was found to be associated with a parahiatal hernia (Scheidler et al. in Ann Thorac Surg 73(2):416–419, 2002). The contents were reduced back into the abdomen, and diaphragmatic defect was approximated. Chronic gastric volvulus with or without diaphragmatic hernia should be kept as a differential in old age groups suffering from intractable dyspepsia unresponsive to conventional therapies (McElreath et al. in Dig Dis Sci 53(11):3033–3036, 2008; Teague et al. in Br J Surg 87(3):358–361, 2000).


Gastric volvulus Parahiatal hernia Diaphragmatic hernia 


Compliance with ethical standards

Conflict of interest

There is no conflict of interests in the present study.


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Copyright information

© Association of Surgeons of India 2019

Authors and Affiliations

  1. 1.Department of SurgeryUniversity College of Medical Sciences and GTB HospitalNew DelhiIndia

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