Clinical Practice and Cases in Emergency Medicine
“A Large Hiatal Hernia”: Atypical Presentation of Gastric Volvulus
- Author(s): Kiyani, Amirali
- Kholsa, Manraj
- Anufreichik, Veronika
- Chuang, Keng-Yu
- et al.
Published Web Locationhttps://doi.org/10.5811/cpcem.2017.2.31075
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.