PMC5676972_01
X-ray of the abdomen showed a large hiatal hernia with minimal bowel gas which can be seen with gastric volvulus.
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Her abdominal X-ray showed a significant increased in size of large hiatal hernia with minimal bowel gas (Figure 1).
EGD showed a large hiatal hernia. Roughly 70% of the gastric lumen was above the diaphragmatic pinch. There is a large amount of old blood, food, and feculent material in the hernia sac with malrotation.
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The fundus and gastric body had ischemic appearance (Figure 2).
CT abdomen showed organoaxial gastric volvulus with pneumatosis of the gastric wall.
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Subsequent computed tomography (CT) abdomen showed an organoaxial gastric volvulus with pneumatosis of the gastric wall (Figure 3).