A case of congenital diaphragmatic hernia presenting in the adult as gastric volvulus

Sajal Gupta, Department of General Surgery, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, Delhi, IndiaFollow
Ismail Khan, Department of General Surgery, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, Delhi, India
Indu B. Dubey
Mayank Verma, Department of General Surgery, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, Delhi, India

Article Type

Case Report

Subject Area

General Surgery

Abstract

We report a case of an adult patient who was referred to the surgical emergency for the evaluation of acute abdominal pain and vomiting. Radiograph chest showed a left-sided cavity, which was misleading to lung pathology. A suspicion of gastric volvulus was kept in mind on seeing the stomach in the radiograph. Computed tomography confirmed the diagnosis of diaphragmatic hernia. The insertion of the Ryle’s tube corrected the gastric volvulus. An immediate laparotomy was done for the closure of the diaphragmatic gap and reduction of the herniated contents. The patient responded well and was discharged in a week.

Keywords

diaphragmatic hernia, gastric volvulus, laparotomy

Recommended Citation

Gupta, Sajal; Khan, Ismail; Dubey, Indu B.; and Verma, Mayank (2023) "A case of congenital diaphragmatic hernia presenting in the adult as gastric volvulus," Journal of Medicine in Scientific Research: Vol. 6: Iss. 2, Article 11.
DOI: https://doi.org/10.59299/2537-0928.1013