Case History:
Acute gastric volvulus is a rare yet life threatening condition with
mortality ranging from 30% to 50% if not treated promptly. The stomach
rotates on itself causing strangulation (Figure 1) precipitating
necrosis, cameron lesions and perforation. Long-standing paraesophageal
hernia is a common cause of organoaxial gastric volvulus.
Questions: Which complication is an important indication for emergent
surgery in long standing Paraesophageal Hernia?