Publication Name	World Journal of Clinical Cases
Manuscript ID	121141
DOI	10.12998/wjcc.121141
Country	Mexico

Category	Surgery
Manuscript Type	Case Report
Article Title	Acute tension gastrothorax post hiatal hernia repair and Nissen fundoplication: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Gonzalo Hagerman-Sucar, Diego A Vázquez-Nicolás, Verónica Quiñones-Corona, Montserrat Olaya-Herrera, Abel Rodríguez Reyes, Janette Furuzawa-Carballeda, Diana Aguilar-León and Gonzalo Torres-Villalobos
Funding Agency and Grant Number
Corresponding Author	Gonzalo Torres-Villalobos, MD, PhD, Professor, Department of Experimental Surgery and Surgery, National Institute of Medical Sciences and Nutrition Salvador Zubiran, Department of Surgery, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga No. 15, Col Belisario Domínguez, Sección XVI, Alcaldía Tlalpan, 14080, Mexico City, Mexico. torresvgm@yahoo.com.mx., Mexico 14080, CDMX, Mexico. torresvgm@yahoo.com.mx
Key Words	Hiatal hernia; Gastric volvulus; Tension gastrothorax; Second-look laparoscopy; Risk factors; Case Report
Core Tip	Acute intrathoracic gastric volvulus with tension gastrothorax is a rare, life-threatening complication that can occur after hiatal hernia repair, particularly in the setting of repetitive retching. A high index of suspicion is essential, as this condition is a true surgical emergency and may present clinical features indistinguishable from those of acute tension pneumothorax. Prompt surgical intervention is the cornerstone of management. Following gastric reduction, assessment of gastric viability remains the most challenging step. When viability is uncertain, a staged laparoscopic strategy with intensive care stabilization and planned second-look exploration permits reassessment of perfusion, helps avoid unnecessary gastrectomy, and supports successful gastric preservation.
Citation	Hagerman-Sucar G, Vázquez-Nicolás DA, Quiñones-Corona V, Olaya-Herrera M, Rodríguez Reyes A, Furuzawa-Carballeda J, Aguilar-León D, Torres-Villalobos G. Acute tension gastrothorax post hiatal hernia repair and Nissen fundoplication: A case report. World J Clin Cases 2026; In press DOI: https://doi.org/10.12998/wjcc.121141
PDF	121141-in-press.pdf

Received	2026-03-17 00:47
Peer-Review Started	2026-03-17 00:48
First Decision by Editorial Office Director	2026-04-04 02:35
Return for Revision	2026-04-04 02:35
Revised	2026-04-19 23:04
Publication Fee Transferred	2026-04-25 00:22
Second Decision by Editor	2026-06-24 02:41
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-06-24 08:06
Articles in Press	2026-06-24 08:06
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2307-8960 (online)
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