Document Type : Case Report
Authors
- Bhavya Ganesh
- Anil Kumar
- Aadil Anees Abbas
- Abdul Vakil Khan
- Anurag Kumar
- Majid Anwer
- Sanjay Kumar
- Rekha Kumari
Department of Trauma Surgery and Critical Care, All India Institute of Medical Sciences, Patna, India
Abstract
A 19-year-old male presented with a three-day history of worsening epigastric pain, persistent vomiting,
abdominal distension, and obstipation. His medical history included high-fall trauma in 2022, resulting in a
parietal bone fracture, scalp swelling, and an epidural hematoma. Physical examination revealed epigastric
tenderness, abdominal distension, and diminished bowel sounds. Imaging revealed a 7 cm left diaphragmatic
defect with herniation of the stomach, colon, and mesentery into the thoracic cavity, confirming a diagnosis of
gastric volvulus with a diaphragmatic hernia. An exploratory laparotomy confirmed herniation of the stomach,
transverse colon, spleen, and pancreas. The procedure involved derotation of the gastric volvulus, reduction
of the herniated organs, and repair of the diaphragmatic tear; a fundoplication was also performed to prevent
recurrence. The patient’s recovery was uneventful, and he was discharged on the fifth postoperative day. He
remained asymptomatic at the six-month follow-up. This case underscored the importance of considering
gastric volvulus and diaphragmatic hernia in trauma patients presenting with gastrointestinal symptoms,
highlighting the necessity of early diagnosis and prompt surgical intervention.
Keywords
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