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Case Reports in Medicine
Volume 2010, Article ID 257497, 3 pages
Case Report

Struggling with a Gastric Volvulus Secondary to a Type IV Hiatal Hernia

1Surgical Department, Argos General Hospital, 21200 Argos, Greece
2Department Internal Medicine, Argos General Hospital, 21200 Argos, Greece
3Second Department of Surgery, 417 NIMTS-Nosileutiko Idrima Metohikou Tameiou Stratou (Military Veterans' Fund Hospital), Athens, Greece
41st Department of Propaedeutic Surgery, Hippokrateion Hospital, Athens Medical School, University of Athens, Q. Sofias 114 Avenue, 11527 Athens, Greece

Received 26 July 2010; Accepted 10 October 2010

Academic Editor: Dierk Thomas

Copyright © 2010 Dafnomilis George et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Type IV hiatal hernias are characterized by herniation of the stomach along with associated viscera such as the spleen, colon, small bowel, and pancreas through the esophageal hiatus. They are relatively rare, representing only about 5%–7% of all hernias, and can be associated with severe complications. We report a 71-year-old veteran wrestler who presented to our department with a type IV paraesophageal hernia containing a gastric volvulus and treated successfully with emergency operation.