The patient is a 70-year-old male who came to the Emergency Department with intense epigastric pain, nausea and vomiting that had developed over the previous week.
Chest radiography (Fig. 1) revealed the presence of an air chamber occupying both hemithoraces, suggestive of either gastric or colon hernia. A computed tomography scan (Fig. 2) confirmed a complex type IV hiatal hernia containing the entire stomach, duodenum, jejunum, and partial pancreas and colon. The stomach was dilated and rotated, suggestive of gastric volvulus, even though the wall uptake was adequate.
We conducted a gastroscopy and successfully carried out gastric volvulus reduction. After favorable evolution, the patient was scheduled for elective hernia repair surgery.
Please cite this article as: Guzmán Y, Domínguez P, Ginestà C, Morales X. Hernia hiatal compleja con vólvulo gástrico asociado. Cir Esp. 2022;100:172.
