Acute gastric volvulus: a case report

Abstract

Acute gastric volvulus is a rare, life-threatening condition, but its intermittent nature and vague symptoms may make diagnosis difficult. Imaging is usually only diagnostic if carried out when patients are symptomatic. In the acute scenario, severe epigastric pain, retching with or without vomiting and difficulty or inability to pass nasogastric tube, constitute the Borchardt ’s triad that may be diagnostic. Herein, author reported a case that presented lately to the emergency department in shock with severe abdominal pain, abdominal distension and vomiting. Unfortunately, she died before surgery. Acute gastric volvulus is a surgical emergency requiring early diagnosis and aggressive management, as a delay results into complications like gangrene and perforation which substantially increase the morbidity and mortality in these patients.

Vólvulo Gástrico

“…Como se mencionó antes, sucede lo opuesto en el vólvulo órgano-axial, en el que se hace muy difícil su introducción debido a que envuelve más las estructuras proximales e incluye el esfínter esofágico inferior, el cardias y el fondo gástrico. (19) Aquellos pacientes en los que el vólvulo se presenta de manera intermitente y crónica pueden estar asintomáticos o experimentar síntomas inespecíficos como son:…”