Gastric Volvulus Secondary to Paraesophageal Hernia Causing Gastric Necrosis and Perforation of the Gastroesophageal Junction

Nasir Saleem, Nizar Senussi, Muhammad Farhan


Gastric volvulus is a potentially lethal condition with significant morbidity and mortality if not recognized and managed promptly and appropriately. We report a case of gastric volvulus secondary to paraesophageal hernia causing gastric necrosis and perforation of the gastroesophageal junction. An 82-year-old woman with a large paraesophageal hernia was admitted to our hospital with vague epigastric and right-sided chest pain. She was taken to surgery and laparotomy findings included a large paraesophageal hernia, gastric volvulus with ischemia, frank gangrene and perforation at the gastroesophageal junction. She underwent reduction of the hernia and gastric volvulus with partial gastroesophagectomy and formation of an esophagogastrostomy anastomosis. Due to the patient’s old age and associated co-morbidities, her prognosis remained poor post-operatively and she was transferred to hospice care as per family wishes. This case report is intended to educate clinicians to maintain a high index of suspicion for acute gastric volvulus and its potential complications in the appropriate clinical setting to allow for early surgical intervention and appropriate management.

J Med Cases. 2015;6(7):309-312


Gastroesophageal hernia; Gastric volvulus; Gastric necrosis

Full Text: HTML PDF

Browse  Journals  


Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics


World Journal of Oncology

Gastroenterology Research

Journal of Hematology


Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity


Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research


Journal of Neurology Research

International Journal of Clinical Pediatrics



Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)

This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website:   editorial contact:
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.