Khalid Ibrahim, Riffat Naqvi, Sarah Fatima, Bushra Aman.
Gastric Volvulus Caused By Strangulated Paraesophageal Hernia in Pregnant (3rd Trimester) Lady.
J Surg Pak Jan ;24(2):103-5.

Para esophageal hernia occurs without symptoms or present in emergency. We present a case of 27 years old pregnant(3rdtrimester) lady, referred by gynecologist after treating conservatively excessive vomiting and pain epigastrium (3 days duration) on the basis of pregnancy associated -peptic ulcer disease with no past history of heart burns with mild hydronephrosis left kidney on ultrasound, mildly raised total leukocyte count and serum amylase. She remained well for two days, and then suddenly developed hemetemsis and severe epigastric pain, difficulty in breathing and localized tenderness with hypotension and tachycardia. Upper GI endoscopy was done showing necrotic erythematous patches in fundus area and endoscope could not be negotiated beyond that point. After counseling of patient and husband regarding fetus safety, upper GI gastrograffin study was done, which showed dumbble shaped stomach with central constriction. CT scan chest and abdomen with contrast revealed half of the stomach within left chest.

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