Sanekommu Harshavardhan, Siddiqui Zaid, Farrell Aidan, Taj Sobaan, Saleh Arif B, Alsaadi Ennis, Shah Pranav
Internal Medicine, Jersey Shore University Medical Center, Neptune City, USA.
Internal Medicine, St. George's University School of Medicine, Saint George's, GRD.
Cureus. 2023 May 5;15(5):e38609. doi: 10.7759/cureus.38609. eCollection 2023 May.
Hiatal hernias are commonly encountered in elderly patients, predisposing patients to the common condition of gastroesophageal reflux disease (GERD). Depending on the size of the hernia, different complications can arise. Large hernias can lead to development of gastric volvulus, obstruction, strangulation, and perforation. Therefore, management of large hiatal hernias is crucial to avoid such complications. In this paper, we describe a patient who presented with acute gastric volvulus secondary to a large hiatal hernia. She improved with conservative management and subsequently underwent successful repair of the hernia. We emphasized the importance of identifying gastric volvulus among its vague presentation for prompt management.
食管裂孔疝在老年患者中很常见，使患者易患胃食管反流病（GERD）这种常见疾病。根据疝的大小，可能会出现不同的并发症。大的疝可导致胃扭转、梗阻、绞窄和穿孔。因此，处理大的食管裂孔疝对于避免此类并发症至关重要。在本文中，我们描述了一名因巨大食管裂孔疝继发急性胃扭转的患者。她通过保守治疗病情好转，随后成功接受了疝修补术。我们强调了在胃扭转表现不明确时识别其以便及时处理的重要性。
