Incarceration of a part of the gastric wall into the abdominal cavity in a patient with hiatal hernia and complete dislocation of the stomach (upside‐down stomach)
Suguru Chiyonaga,
Yuki Ohya,
Mitsuhiro Inoue,
Dan Matsuda,
Akira Yoneda,
Jun Tomiguchi,
Yukari Hinokuma,
Shintaro Hayashida,
Masayoshi Iizaka,
Yukihiro Inomata
Affiliations
Suguru Chiyonaga
Department of Gastroenterology and Hepatology Kumamoto Rosai Hospital Kumamoto Japan
Yuki Ohya
Department of Surgery Kumamoto Rosai Hospital Kumamoto Japan
Mitsuhiro Inoue
Department of Surgery Kumamoto Rosai Hospital Kumamoto Japan
Dan Matsuda
Department of Gastroenterology and Hepatology Kumamoto Rosai Hospital Kumamoto Japan
Akira Yoneda
Department of Gastroenterology and Hepatology Kumamoto Rosai Hospital Kumamoto Japan
Jun Tomiguchi
Department of Gastroenterology and Hepatology Kumamoto Rosai Hospital Kumamoto Japan
Yukari Hinokuma
Department of Gastroenterology and Hepatology Kumamoto Rosai Hospital Kumamoto Japan
Shintaro Hayashida
Department of Surgery Kumamoto Rosai Hospital Kumamoto Japan
Masayoshi Iizaka
Department of Surgery Kumamoto Rosai Hospital Kumamoto Japan
Yukihiro Inomata
Department of Surgery Kumamoto Rosai Hospital Kumamoto Japan
Abstract An upside‐down stomach is a rare type of hiatal hernia. An 83‐year‐old woman presented to the emergency room with abdominal pain and vomiting. Computed tomography revealed an upside‐down stomach and the incarceration of a part of the gastric body into the abdominal cavity. Upper gastrointestinal endoscopy revealed a circular ulcer caused by gastric ischemia. Although she was discharged after 1 week of conservative therapy, she was readmitted to the hospital 1 day after discharge because of a recurrence of hiatal hernia incarceration. She underwent laparoscopic surgery 4 days after readmission and recovered successfully.
