| Category |
Surgery |
| Manuscript Type |
Case Report |
| Article Title |
Acute tension gastrothorax post hiatal hernia repair and Nissen fundoplication: A case report
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| 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 |
| ORCID |
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| Funding Agency and Grant Number |
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| 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. |
| Publish Date |
2026-08-03 07:46 |
| 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; 14(22): 121141
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| URL |
https://www.wjgnet.com/2307-8960/full/v14/i22/121141.htm |
| DOI |
https://doi.org/10.12998/wjcc.121141 |