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?