# Successful resolution of gastric pneumatosis due to a strangulated hiatus hernia and malrotation through non-surgical management: a case report

## TL;DR

A rare case of gastric pneumatosis caused by a strangulated hiatus hernia and malrotation was successfully treated without surgery.

## Contribution

This case report highlights the successful non-surgical resolution of gastric pneumatosis caused by a strangulated hiatus hernia and malrotation.

## Key findings

- Initial CT scan showed gastric pneumatosis due to a strangulated hiatus hernia and malrotation.
- Conservative management led to complete resolution of the condition within four days.
- No long-term complications were observed following non-surgical treatment.

## Abstract

Gastric pneumatosis is a rare finding, and clinicians, when under pressure, find it challenging to immediately identify the cause and decide if the patient requires emergency surgery. We present a case where an initial CT scan demonstrated gastric pneumatosis involving only the greater curvature of the antrum caused by a strangulated hiatus hernia and malrotation of the distal stomach. The CT features suggested the patient required immediate surgery; however, a conservative approach was taken, and a follow-up CT scan 4 days after the onset demonstrated complete resolution and no long-term complications.