PMC9082190_01
Normal endoscopic view of antrum (a) compared with abnormal orientation (b).
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F1
The stomach showed an abnormal orientation of the antrum on forward view (Fig. 1b, compared with normal view in Fig 1a) as well as on retroflexion of the endoscope (Fig. 2b, compared with normal view in Fig. 2a), concerning for gastric volvulus.
Normal orientation on endoscopic retroflexed view (a) compared with abnormal orientation (b).
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F2
The stomach showed an abnormal orientation of the antrum on forward view (Fig. 1b, compared with normal view in Fig 1a) as well as on retroflexion of the endoscope (Fig. 2b, compared with normal view in Fig. 2a), concerning for gastric volvulus.
Diaphragmatic defect permitting gastric herniation (circled). Herniated portion of stomach (diamond) with omentum along greater curvature (star).
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F3
She underwent surgery for repair of the defect resulting in gastric herniation (encircled in Fig. 3). Intraoperative findings were significant for development of a volvulus in the herniated portion of the stomach, with omentum along the greater curvature (Fig. 3, labeled) within the presternal space, anterior to the mesh that was used for sternal reconstruction.