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Open Access Publications from the University of California

“A Large Hiatal Hernia”: Atypical Presentation of Gastric Volvulus


Gastric volvulus is a rare condition defined as an abnormal rotation of the stomach by more than180 degrees. Gastric volvulus could present atypically with simply nausea and vomiting. A highindex of suspicion is required for prompt diagnosis and treatment, especially when a patientpresents with subacute intermittent gastric volvulus. Here, we present the case of a 56-year-oldfemale with lung cancer status post left lower lobectomy undergoing chemotherapy who presentedwith intermittent nausea and upper abdominal pain for a few weeks. Barium study and computedtomography revealed acute mesenteroaxial gastric volvulus and she was treated with urgent surgicalintervention.

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