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  • Chronic gastric volvulus secondary to eventration of the left hemidiaphragm due to radiation-induced phrenic nerve palsy: a rare presentation

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Case report
Chronic gastric volvulus secondary to eventration of the left hemidiaphragm due to radiation-induced phrenic nerve palsy: a rare presentation
  1. Madan Shivakumar1,
  2. Oseen Hajilal Shaikh1,
  3. Sania Rahman2 and
  4. Uday Shamrao Kumbhar1
  1. 1Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India
  2. 2Department of Radiodiagnosis, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India
  1. Correspondence to Professor Uday Shamrao Kumbhar; k26uday74{at}yahoo.co.in

Abstract

Partial mesentericoaxial gastric volvulus associated with acquired eventration of the left dome of the diaphragm is very rare. We present the case of a 65-year-old man who presented with features of gastric outlet obstruction. He had a prior history of laryngeal cancer for which total laryngectomy was done, and adjuvant radiotherapy was administered. He was subsequently diagnosed with eventration of the left dome of the diaphragm and partial gastric volvulus. The patient recovered completely with conservative management and was discharged.

  • surgery
  • general surgery
  • gastrointestinal surgery

https://doi.org/10.1136/bcr-2021-245279

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    Footnotes

    • Contributors MS helped in preparation of the manuscript. SR helped in collection of the data, OHS helped in interpretation of the data and USK helped in critical analysis.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

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