Chronic Gastric Volvulus Secondary to Adhesive Band with Congenital Diaphragmatic Hernia

Gastric volvulus (GV) is an uncommon condition. Borchardt’s triad of vomiting, epigastric pain and an inability to pass a nasogastric tube should warn clinicians to think of GV as the primary diagnosis. Congenital diaphragmatic hernia, the hiatus hernia, diaphragmatic eventration, abdominal bands or adhesions and laxity of ligaments can cause GV. GV is either an organoaxial or mesenteroaxial type of volvulus. The volvulus can present with acute onset or may present with chronic symptoms. In our case, the patient had chronic symptoms later diagnosed as GV due to a congenital diaphragmatic hernia. Here old patient came with a history of vomiting for nearly two years with gross weight loss. The patient had severe electrolyte imbalance, which was corrected before surgery. Finally diagnosed as GV by doing certain investigation. During surgery, we found GV due to an adhesive band and with morgagni diaphragmatic hernia.