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Surgery Heart & Pericardium 8846da6f

The best treatment of this 80-year-old woman with vomiting retrosternal pain and a looped nasogastric tube in her left chest is:

A

Remove the tube because the patient is now well and discharged.

B

Evaluate the esophageal myotomy to treat achalasia.

C

Immediate left thoracotomy to treat perforation.

D

Consider surgical reduction of volvulus and diaphragmatic repair.

High-Yield Explanation

Recurrent volvulus of the stomach into the chest is a serious condition that can lead to incarceration and gangrene. Every attempt should be made to repair this diaphragmatic hernia.

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