Mesentero-axial gastric volvulus in an old woman: a case report of a diagnostic challenge
Keywords:
Gastric volvulus, Mesentero-axial volvulus, Computed tomography, Laparoscopic fundoplicatioAbstract
Gastric volvulus is a rare conditiom defined as an abnormal rotation of the stomach around itself.
Acute gastric volvulus is a surgical emergency because it is a life-threatening condition, but its non-specific symptoms make diagnosis difficult.
There are two types of gastric volvulus: organoaxial and mesentero-axial.
The treatmet is surgical intervention.
Computed tomography allows to identify and classify gastric volvulus and rule out complications so that to guide surgery management.
We report a case of a mesentero-axial gastric volvulus in an old woman with abdominal pain, who underwent surgery in laparoscopy.
References
Altonbary AY, Bahgat MH. Acute mesenteroaxial gastric volvulus: A rare cause of haematemesis. Arab J Gastroenterol 2015, doi:10.1016/j.ajg.2015.09.011
Jabbour G, Afifi I, Ellabib M, El-Menyar A, Al-Thani H. Spontaneous Acute Mesenteroaxial Gastric Volvulus Diagnosed by Computed Tomography Scan in a Young Man. Am J Case Rep. 2016;17:283-288. Published 2016 Apr 26. doi:10.12659/ajcr.896888
Akhtar A, Siddiqui FS, Sheikh AAE, Sheikh AB, Perisetti A. Gastric Volvulus: A Rare Entity Case Report and Literature Review. Cureus. 2018;10(3):e2312. Published 2018 Mar 12. doi:10.7759/cureus.2312
Chau B, Dufel S. Gastric volvulus. Emerg Med J. 2007;24(6):446-447. doi:10.1136/emj.2006.041947
Machado NO, Rao BA. Gastric volvulus with identifiable cause in adults. Presentation and management. Saudi Med J. 2004;25(12):2032-2034.
McElreath DP, Olden KW, Aduli F. Hiccups: a subtle sign in the clinical diagnosis of gastric volvulus and a review of the literature. Dig Dis Sci 2008; 53:3033–6.
Cribbs RK, Gow KW, Wulkan ML. Gastric volvulus in infants and children. Pediatrics 2008;122:e752–62.
Rashid F, Thangarajah T, Mulvey D, Larvin M, Iftikhar SY. A review article on gastric volvulus: a challenge to diagnosis and management. Int J Surg. 2010;8(1):18-24. doi:10.1016/j.ijsu.2009.11.002
Wasselle JA, Norman J. Acute gastric volvulus: pathogenesis, diagnosis, and treatment. Am J Gastroenterol. 1993;88(10):1780-1784.
Godshall D, Mossallam U, Rosenbaum R. Gastric volvulus: case report and review of the literature. J Emerg Med 1999;17:837–40.
Borchardt M. Kur Pathologie and Therapie des magen volvulus. Arch Kin Chir 1904;74:243–60.
Darani A, Mendoza-Sagaon M, Reinberg O. Gastric volvulus in children. J Pediatr Surg 2005;40:855–8.
Shivanand G, Seema S, Srivastava DN, Pande GK, Sahni P, Prasad R, et al. Gastric volvulus: acute and chronic presentation. Clin Imaging 2003;27:265–8.
Oh SK, Han BK, Levin TL, Murphy R, Blitman NM, Ramos C, et al. Gastric volvulus in children: the twists and turns of an unusual entity. Pediatr Radiol 2008;38:297–304.
Singham S, Sounness B. Mesenteroaxial volvulus in an adult: time is of the essence in acute presentation. Biomed Imaging Interv J. 2009;5(3):e18. doi:10.2349/biij.5.3.e18
Cherukupalli C, Khaneja S, Bankulla P et al. CT diagnosis of acute gastric volvulus. Dig Surg 2003; 20(6):497-9.
Ahmed A: Acute mesenteroaxial gastric volvulus on computed tomography. S Afr J Rad, 2013; 17: 21–23
Coulier B, Ramboux A: Acute obstructive gastric volvulus diagnosed by helical CT. JBR-BTR, 2002; 85: 43
Pelizzo G, Lembo MA, Franchella A et al. Gastric volvulus associated with congenital diaphragmatic hernia, wandering spleen, and intrathoracic left kidney: CT findings. Abdom Imaging 2001; 26(3):306-8.
Mazaheri P, Ballard DH, Neal KA, et al. CT of Gastric Volvulus: Interobserver Reliability, Radiologists' Accuracy, and Imaging Findings. AJR Am J Roentgenol. 2019;212(1):103-108. doi:10.2214/AJR.18.20033
Lopez PP, Megha R. Gastric Volvulus. In: StatPearls. Treasure Island (FL): StatPearls Publishing; November 14, 2021.
Gourgiotis S, Vougas V, Germanos S et al: Acute gastric volvulus: Diagnosis and management over 10 years. Dig Surg, 2006; 23: 169–72
Longchamp G, Andres A, Abbassi Z. Gastric necrosis following a hiatal hernia: A case report. Int J Surg Case Rep. 2021;79:108-111. doi:10.1016/j.ijscr.2020.12.092
Karim MA, Maloney J, Ali A. Laparoscopic Repair of Intrathoracic Stomach: Clinical and Health-related Quality of Life Outcomes. Surg Laparosc Endosc Percutan Tech. 2016;26(6):484-487. doi:10.1097/SLE.0000000000000349
Teague WJ, Ackroyd R, Watson DI, Devitt PG. Changing patterns in the management of gastric volvulus over 14 years. Br J Surg 2000;87:358–61.
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Rosario Francesco Balzano, Valentina Testini, Francesco Lattanzio, Giuseppe Guglielmi

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Transfer of Copyright and Permission to Reproduce Parts of Published Papers.
Authors retain the copyright for their published work. No formal permission will be required to reproduce parts (tables or illustrations) of published papers, provided the source is quoted appropriately and reproduction has no commercial intent. Reproductions with commercial intent will require written permission and payment of royalties.