Gastric volvulus

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Gastric volvulus
Organoaxial-volvulus-002.jpg
Image courtesy of RadsWiki
ICD-9 537.89
DiseasesDB 32054
eMedicine med/2714  radio/296

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Contributors: Cafer Zorkun M.D., PhD.


Overview

Gastric volvulus a twisting of all or part of the stomach by more than 180 degrees with obstruction of the flow of material through the stomach, variable loss of blood supply and possible tissue death. The twisting can occur around the long axis of the stomach, this is called organoaxial or around the axis perpendicular to this, called mesenteroaxial. Obstruction and ischemia are more likely in mesenteroaxial twisting than with organoaxial. About one third of the cases are associated with a hiatus hernia. Treatment is surgical. [1]

Clinical Presentations

The classic triad of gastric volvulus, described by Borchardt in 1904, consists of severe epigastric pain, retching without vomiting and inability to pass a nasogastric tube.

Diagnostic Findings

Patient #1: Organoaxial gastric volvulus

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Patient #2: Organoaxial gastric volvulus

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References

  1. Schaefer D, Nikoomenesh P, Moore C (1997). "Gastric volvulus: an old disease process with some new twists.". Gastroenterologist. 5 (1): 41–5. PMID 9074918. 

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