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Unusual presentation of more common disease/injury
CASE REPORT
Cardiac compression due to gastric volvulus: an unusual cause of chest pain
  1. Alex Brown,
  2. David Austin,
  3. Venkatesh Kanakala
  1. Cardiology, The James Cook University Hospital, Middlesbrough, UK
  1. Correspondence to Dr Alex Brown, A.Brown9{at}nhs.net

Summary

A 42-year-old man was admitted to coronary care for assessment with severe retrosternal chest pain. Echocardiography showed significant external compression of the left atrium. A subsequent CT scan revealed him to have a large hiatus hernia, with most of his stomach herniating into his thorax causing left atrial compression and gastric volvulus. He subsequently underwent successful emergency decompression of the gastric volvulus and repair of his hiatus hernia.

  • Cardiovascular medicine
  • Gastrointestinal system
  • Gastrointestinal surgery

https://doi.org/10.1136/bcr-2017-219595

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    Footnotes

    • Contributors AB was the cardiology registrar on call responsible for the initial assessment and work-up of this patient on arrival in CCU. DA was the supervising consultant and involved in his care following this initial assessment and work-up. VK was the consultant general surgeon who performed the operation. AB wrote up the case with the assistance of DA and VK.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.