Department of General Surgery, Mount Lebanon Hospital University Medical Center, University of Balamand, Beirut, Lebanon
Case Report
Gastric Volvulus, a Delayed Surgical Complication After Debulking
and HIPEC for Advanced Ovarian Cancer - A Case Report and
Review of Literature
Author(s): Souad Ghattas*, Hani Maalouf, Ribal Aby Hadeer, Fawzi Elias, Hadi Khaled Abou Zeid, Anthony Kahy and Raja Wakim
Gastric volvulus in conjunction with diaphragmatic hernia is an uncommon but life-threatening presentation that is usually associated with congenital
para-esophageal hernia and traumatic diaphragm injury. However, it has been rarely described with cytoreductive surgery followed by hyperthermic
intraperitoneal chemotherapy (HIPEC). We herein report the case of a 68-year-old woman presenting with signs and symptoms of acute upper
gastro-intestinal (GI) obstruction with back and chest pain, 3 years after debulking surgery and HIPEC for peritoneal carcinomatosis secondary
to advanced ovarian cancer. A diagnosis of gastric volvulus was established based on gastroscopy, barium swallow, and computed tomography
(CT) scan, and urgent laparotomy revealed a rotated stomach adherent to the spleen and left diaphragm. After reduction, a diaphragmatic defect
that was missed o.. Read More»
DOI:
10.37421/2684-4915.2022.6.206
Clinical and Medical Case Reports received 40 citations as per Google Scholar report