case_images: PMC6854275_01
case_images: Barrium upper GI. Half the stomach body in right position.
case_images: gr1.jpg
case_images: PMC6854275_01_gr1.jpg
case_images: fig0005
case_images: An abdominal CT-scan with IV injection confirmed the diagnosis of incomplete gastric volvulus associated with the PEH (Fig. 1).
case_images: Anterior gastropexy with running unresorbable V-loc 2.0.
case_images: gr2.jpg
case_images: PMC6854275_01_gr2.jpg
case_images: fig0010
case_images: Due to the patient's advanced age and comorbidities, we performed a posterior cruroplasty without mesh reinforcement, associated to an anterior gastropexy with continuous running suture with barbed non-resorbable 2/0, anchoring 3/4th of the stomach to the anterolateral abdominal muscles (Fig. 2).
case_images: PMC6854275_02
case_images: Abdominal CT. Complete intramediastinal volvulus.
case_images: gr3.jpg
case_images: PMC6854275_02_gr3.jpg
case_images: fig0015
case_images: A thoraco-abdominal CT-scan showed a giant paraesophageal hernia with complete intramediastinal gastric volvulus (Fig. 3).
case_images: Cruroplasty reinforced with ePTFE pledgets.
case_images: gr4.jpg
case_images: PMC6854275_02_gr4.jpg
case_images: fig0020
case_images: After complete gastric reduction and sac excision we performed a posterior cruroplasty reinforced with two ePTFE large strips (Fig. 4).