A Case of Gastric Volvulus in the Emergency Department |Biomedgrid
Journal: American Journal of Biomedical Science & Research (Vol.14, No. 2)Publication Date: 2021-09-09
Authors : Elam A; Downs A; Burgess M; Dang R; Williams T; Ranasinghe L;
Page : 158-162
Keywords : Gastric Volvulus; Adults; Surgical; Nasogastric; High Rate;
Abstract
Gastric Volvulus (GV) is a rare condition characterized by rotation of the stomach 180° around its axis [1]. GV can be either acute or chronic and can lead to various complications including GI obstruction and strangulation. Approximately one third of patients present with acute symptoms [2]. Acute GV is considered a surgical emergency and, if left untreated, has a high rate of mortality. Acute GV is classically characterized by Borchardt's Triad which consists of unproductive retching, epigastric pain, and inability to pass a Nasogastric (NG) tube [3]. Postprandial vomiting can also be seen. Diagnoses are commonly made with imaging (plain radiograph or CT). In adults, GV is commonly due to diaphragmatic defects. We present a patient with a case of acute gastric volvulus in a 74-year-old female with history of hiatal hernia. The patient was diagnosed via imaging and subsequently underwent surgical reduction of the volvulus and hernia repair.
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