Abstract
Acute gastric volvulus is a rare, but potentially life-threatening, cause of upper gastro-intestinal obstruction. The diagnosis can prove clinically challenging, and hence there is increased reliance on imaging. There are different types of gastric volvulus, with the variant presented in our case being the less commonly encountered mesenteroaxial gastric volvulus. Some of the CT features of gastric volvulus are described, and the usefulness of CT in assisting with the diagnosis is highlighted.
Highlights
Gastric volvulus is a rare clinical entity, and a clinically relevant cause of acute abdominal pain in adults
The diagnosis of mesenteroaxial gastric volvulus was confirmed; there were no signs of ischaemia, necrosis or perforation
An unusually long gastro-hepatic mesentery has been mentioned as a predisposing factor for the development of mesenteroaxial gastric volvulus.[8]
Summary
Acute gastric volvulus is a rare, but potentially life-threatening, cause of upper gastro-intestinal obstruction. The diagnosis can prove clinically challenging, and there is increased reliance on imaging. There are different types of gastric volvulus, with the variant presented in our case being the less commonly encountered mesenteroaxial gastric volvulus. Some of the CT features of gastric volvulus are described, and the usefulness of CT in assisting with the diagnosis is highlighted. Gastric volvulus is a rare clinical entity, and a clinically relevant cause of acute abdominal pain in adults. The imaging diagnosis remains challenging.[1]. Abdominal computed tomography (CT) has been underutilised in the diagnosis of gastric volvulus in previously reported series.[2] The present case illustrates the value and importance of abdominal CT in the rapid diagnosis of acute abdominal pathology and, in particular, acute gastric volvulus. It is imperative that the diagnosis is made early in the course of the disease, to allow prompt surgical intervention and prevention of life-threatening complications
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
