ArticleCureus2025
Two Hernias, One Patient: A Case of Organoaxial Gastric Volvulus in a Paraesophageal Hernia With an Incisional Hernia.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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4 authors.
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Abstract
A 65-year-old male presented with abdominal pain and swelling persisting for five years. On clinical examination, a 15 cm transverse scar was noted above the umbilicus, along with a reducible incisional hernia. Contrast-enhanced CT of the abdomen revealed an incisional hernia with a single defect at the umbilical and epigastric regions with European Hernia Society classification of M2-3, W3, along with a rolling-type paraesophageal hernia. He underwent surgical repair for the incisional hernia by hybrid procedure. One month post-discharge, he developed progressive nausea, vomiting, and food intolerance. Repeat imaging and upper GI endoscopy suggested a large hiatal hernia with organoaxial gastric volvulus. Laparoscopic derotation with cruroplasty and Toupet fundoplication was performed with a successful outcome. This case illustrates a rare dual presentation of two distinct hernias, underscoring the need for comprehensive preoperative evaluation and discussing the possible factor of raised intra-abdominal pressure that can lead to gastric volvulus.
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