Laparoscopic gastropexy treated with adult gastric volvulus with lesser omental hernia : A case report Kentaro SHIMA 1 , Tatsuya UENO 1 , Orie SUZUKI 1 , Koetsu INOUE 1 , Michinaga TAKAHASHI 1 1Department of Surgery, South Miyagi Medical Center Keyword: 小網裂孔ヘルニア , 胃長軸捻転症 , 腹腔鏡下胃固定術 pp.311-317
Published Date 2017/5/15
DOI https://doi.org/10.11477/mf.4426200405
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A 69-year-old woman visited a local clinic complaining of nausea and vomiting. Abdominal X-ray film revealed a markedly dilated stomach and she was referred to our hospital on an ambulance for scrutiny. She was diagnosed as probable gastric volvulus around longitudinal axis by abdominal computed tomography. Because reposition of the torsion using a gastroscopy was not successful, she was referred to our department for surgical treatment. A substantial defect of the lesser omentum was identified by laparoscopic exploration. We found that the gastric body protruded through the defect of the lesser omentum resulting in 360° rotation at longitudinal axis. After successful reposition, the defect of the lesser omentum was closed and gastropexy was accomplished by placing interrupted sutures between gastric body and lateral abdominal wall. The postoperative course was uneventful, and she has been in good health without any sign of recurrence after discharge. We reported the first case of gastric volvulus with longitudinal axis torsion accompanied by lesser omental hernia, treated successfully with laparoscopic operation in Japan.

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