Abstract
A case of acute gastric volvulus (GV) in a young girl is reported. The patient reported with acute severe upper abdominal pain and distension but no hematemesis, melena and vomiting. Clinically, the condition was diagnosed as acute abdomen and per-operatively the condition was found to be an acute gastric volvulus without any other surrounding pathology. Total gastrectomy with roux-en-y esophago-jejunostomy was done. After resuscitative management immediate laparotomy or laparoscopy is the mainstay of management of acute GV. Its diagnostic difficulties, surgical management and outcome are discussed. 
 
 (J Bangladesh Coll Phys Surg 2007; 25 : 95-97)
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