PMC7746469_01
A thoracoabdominal CT scan showing a stomach stasis on a pyloric obstacle.
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fig1
A thoracoabdominal CT scan was performed showing a stomach stasis on a pyloric obstacle suggesting stomach torsion (Figure 1); then, an upper gastrointestinal endoscopy was done showing a large hiatal hernia deforming the stomach with difficult antral passage.
An upper gastrointestinal contrast showing a gastric plication with anteropyloroduodenal malrotation.
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fig2
In front of clinical stability and the absence of complication signs, we allowed ourselves to make an upper gastrointestinal contrast which confirmed the diagnosis of gastric volvulus by showing a gastric plication with anteropyloroduodenal malrotation (Figure 2).
Closing of the hiatal orifice and performing a Toupet fundoplication.
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fig3
Toupet fundoplication was done (Figure 3).