CASE REPORT

ACUTE GASTRIC VOLVULUS ON MIXED HIATUS HERNIA: A CASE REPORT IN BOBO-DIOULASSO, BURKINA FASO.

Zaré C1*, Belemlilga GLH1, Tankoano AI3, Yabré N1, Kéita N1, Guibla I2,Traoré IA2, Nikièma Z3

1Department of General Surgery at Sourô Sanou Universtity Hospital of Bobo-Dioulasso, Burkina Faso.
2Intensive Care Unit of Sourô Sanou Teaching Hospital in Bobo-Dioulasso, Burkina Faso.
3Department of Radiology, Sourô Sanou Teaching Hospital in Bobo-Dioulasso, Burkina Faso.

Corresponding author: Dr Cyprien Zare Email: zcyprien@yahoo.fr
Source(s) of support: None
Conflict of interest : None

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ABSTRACT

Acute organo-axial gastric volvulus is a surgical entity not well known among elderly women. We report the case of an 82-year-old known hypertensive patient on treatment, whose diagnosis was made in a private clinic with a barium meal and the surgery performed at Souro Sanou Teaching Hospital. It was an acute organo-axial gastric volvulus on a mixed hiatus hernia. Detorsion occurred spontaneously during surgical exploration. Treatment consisted of repositioning the oesophago-gastric junction intra-abdominally, followed by approximation of the oesophageal pillars and gastropexy at the diaphragm level. Unfortunately, the patient died on post-operative day one from cardiac failure.

Key words: Stomach, Volvulus, Barium meal, Hiatus hernia

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