Abstract
We report a very rare condition that we treated surgically. The patient was a 38-year-old-male with a history of melena, which had occurred on five occasions. Following this, he was examined by a local physician, who had diagnosed gastric deformation of unknown etiology. After another episode of melena, the patient consulted our hospital. Careful inspection of thoracic X-ray films, together with endoscopy and contrast medium imaging resulted in a diagnosis of gastric volvulus with a hemorrhagic gastric ulcer.Gastrectomy (Billroth-I method) was performed. The presence of a gastric volvulus made diagnosis easier. However, chronic cases without the complication of gastric ulcer might be more difficult to diagnose and may not receive the necessary surgery. There is, therefore, no definitive surgical procedure for this condition.It is necessary to carefully consider age, complications, and their severity when examining patients with suspected gastric deformation.
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