Rolling hiatus hernia.
Acute onset of epigastric pain and vomiting in an elderly patient. The contrast study shows most of the body and fundus of the stomach in the chest, with the greater curve of the stomach uppermost. While representing more of a technical challenge than an uncomplicated hiatus hernia, it is feasible to correct these problems laparoscopically, with a relatively low morbidity. Teague WJ, Ackroyd R, Watson DI, Devitt PG. Changing patterns in the
management of gastric volvulus: a 14 year review. Br J Surg 2000
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