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We reported a 55-year-old woman admitted to the emergency department at a hospital. She presented with severe abdominal pain, mainly in the epigastrium, associated with dyspnea, nausea and vomiting. An abdominal CT scan showed a large hiatal hernia in the thorax with signs of volvulus in the involved segment.<\/jats:p>","DOI":"10.1093\/jscr\/rjad167","type":"journal-article","created":{"date-parts":[[2023,4,13]],"date-time":"2023-04-13T01:29:57Z","timestamp":1681349397000},"source":"Crossref","is-referenced-by-count":3,"title":["Bowel volvulus in the chest after an esophagectomy: an uncommon type IV hiatal hernia"],"prefix":"10.1093","volume":"2023","author":[{"given":"Danny","family":"Ludena","sequence":"first","affiliation":[{"name":"Surgery Department, Santa Casa de Miseric\u00f3rdia in Porto Alegre (SCMPA) , Porto Alegre, RS , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodolfo","family":"Camillo","sequence":"additional","affiliation":[{"name":"Surgery Department, Santa Casa de Miseric\u00f3rdia in Porto Alegre (SCMPA) , Porto Alegre, RS , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayara","family":"Machry","sequence":"additional","affiliation":[{"name":"Surgery Department, Santa Casa de Miseric\u00f3rdia in Porto Alegre (SCMPA) , Porto Alegre, RS , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paola","family":"Solis-Pazmino","sequence":"additional","affiliation":[{"name":"Surgery Department, Santa Casa de Miseric\u00f3rdia in Porto Alegre (SCMPA) , Porto Alegre, RS , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,4,12]]},"reference":[{"key":"2023041301294907500_","doi-asserted-by":"crossref","first-page":"1046","DOI":"10.1097\/DCR.0000000000002159","article-title":"The American Society of Colon and Rectal Surgeons clinical practice guidelines for the management of colonic volvulus and acute colonic pseudo-obstruction","volume":"64","author":"Alavi","year":"2021","journal-title":"Dis Colon Rectum"},{"key":"2023041301294907500_","doi-asserted-by":"crossref","first-page":"93","DOI":"10.3121\/cmr.2016.1332","article-title":"Bowel in chest: type IV hiatal hernia","volume":"14","author":"Krause","year":"2016","journal-title":"Clin Med Res"},{"key":"2023041301294907500_","doi-asserted-by":"crossref","DOI":"10.1093\/jscr\/rjab548","article-title":"Hiatus hernia with gastric volvulus and duodenum component: a case report","volume":"2021","author":"Gimenez","year":"2021","journal-title":"J Surg Case Rep"},{"key":"2023041301294907500_","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1186\/s13256-019-2080-1","article-title":"Transverse colon volvulus presenting as bowel obstruction: a case report","volume":"13","author":"Hasnaoui","year":"2019","journal-title":"J Med Case Reports"},{"key":"2023041301294907500_","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2010\/257497","article-title":"Struggling with a gastric volvulus secondary to a type IV hiatal hernia","volume":"2010","author":"George","year":"2010","journal-title":"Case Rep Med"},{"key":"2023041301294907500_","doi-asserted-by":"crossref","first-page":"1225","DOI":"10.1016\/j.rcl.2015.06.008","article-title":"Bowel obstruction","volume":"53","author":"Gore","year":"2015","journal-title":"Radiol Clin North Am"},{"key":"2023041301294907500_","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1186\/s13017-021-00379-8","article-title":"Diagnosis and management of small bowel obstruction in virgin abdomen: a WSES position paper","volume":"16","author":"Amara","year":"2021","journal-title":"World J Emerg Surg"},{"key":"2023041301294907500_","doi-asserted-by":"crossref","first-page":"4409","DOI":"10.1007\/s00464-013-3173-3","article-title":"Guidelines for the management of hiatal hernia","volume":"27","author":"Kohn","year":"2013","journal-title":"Surg Endosc"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2023\/4\/rjad167\/49865690\/rjad167.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2023\/4\/rjad167\/49865690\/rjad167.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T17:14:10Z","timestamp":1702055650000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjad167\/7115931"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,1]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjad167","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2023,4]]},"published":{"date-parts":[[2023,4,1]]},"article-number":"rjad167"}}