Gastric Volvulus: A Challenge to Diagnosis and Management

Faisal El Mouhafid*, Mbarek Yaka, Ahmed Bounaim and Mountassir Moujahid

Department of Visceral Surgery, Mohammed V Military Teaching Hospital, Morocco

^*Correspondance to: Faisal El Mouhafid 

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Abstract:

Introduction: Gastric Volvulus (GV) is a rare disease. The exact incidence of GV is unknown and
patients with a chronic presentation may never be diagnosed. The peak age group of incidence is
in the fifth decade. The volvulus can be classified as organoaxial and mesenteroaxial. The clinical
presentation of gastric volvulus depends on the degree of rotation and the rapidity of onset.
Case Presentation: An 86-year-old man came to the emergency department presenting with
abdominal pain of 48-h progression with dyspnea, nausea with no vomiting. Nasogastric tube
placement was unsuccessful. An abdominal computed tomography scan was revealed a volvulus
gastric with pneumoperitoneum. Emergency surgery was indicated and a typical gastrectomy was
performed.
Conclusion: Acute GV usually presents with Borchardt’s triad. With the advent of CT and
laparoscopic surgery, the gold standards for diagnosing and treating this disease are ever evolving.
Surgical treatment should be performed according to aetiology and to patient’s characteristics.

Keywords:

Gastric volvulus; Management of gastric volvulus; CT

Cite the Article:

El Mouhafid F, Yaka M, Bounaim A, Moujahid M. Gastric Volvulus: A Challenge to Diagnosis and Management. World J Surg Surgical Res. 2020; 3: 1236..