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)

• Published in: DEN open Vol. 5; no. 1; p. e377
• Main Authors: Chiyonaga, Suguru, Ohya, Yuki, Inoue, Mitsuhiro, Matsuda, Dan, Yoneda, Akira, Tomiguchi, Jun, Hinokuma, Yukari, Hayashida, Shintaro, Iizaka, Masayoshi, Inomata, Yukihiro
• Format: Journal Article
• Language: English
• Published: Australia John Wiley and Sons Inc 01-04-2025
• Subjects: Case Report; Case Reports; upside‐down stomach; hernia incarceration; fundoplication; hiatal hernia; Cameron's ulcer
• ISSN: 2692-4609; 2692-4609
• DOI: 10.1002/deo2.377

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.