Acute Gastric Volvulus in the Elderly: A Case Report and Review of the Literature

Chaari, Anis; Bahr, M. El; Khashaba, Shehab; Ismail, Mohamed; Mahmoud, Tarek; Casey, William

doi:10.1016/j.ijge.2015.12.003

Cited by 6 publications

(8 citation statements)

References 15 publications

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“…The pathophysiology leading to primary GV in adults remains unclear but may involve either a laxity or a disruption of the ligaments anchoring the stomach. However, in the majority of cases, the etiology is secondary to an underlying condition such as paraesophageal hernia, diaphragmatic herniation, trauma, tumor, or phrenic nerve paralysis [ 6 ]. The signs and symptoms of acute GV include abdominal pain and distension, especially in the upper abdomen, as well as vomiting with progression to nonproductive retching [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, abdominal CT scans provide more accurate diagnosis with specific details of the anatomical abnormality [ 5 ]. As soon as the diagnosis is made, a nasogastric tube should be inserted to decrease the intragastric pressure and urgent reduction of the volvulus should be pursued to avoid acute gastric ischemia and perforation [ 6 ]. Here within, we report the case of a patient, who presented with abdominal pain and shortness of breath.…”

Section: Introductionmentioning

confidence: 99%

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Acute Gastric Volvulus and Atrial Fibrillation with RVR: A Coincidence or Association

Nadhem

Salh

Khasawneh

2017

Case Reports in Critical Care

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Gastric volvulus is a rare and life-threatening condition that involves the abnormal rotation of the stomach around its axis by more than 180°. The association between acute gastric volvulus and atrial fibrillation with rapid ventricular response is rare with only few cases that have been reported. Our patient was an 86-year-old female who presented with upper abdominal pain, distension, nausea, and shortness of breath. Clinical and laboratory workup revealed acute gastric volvulus with diaphragmatic hernia. On presentation, she was also in atrial fibrillation with rapid ventricular response. She was successfully treated by laparotomy with reduction of the gastric volvulus and repair of the diaphragmatic hernia, with significant improvement.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Acute Gastric Volvulus and Atrial Fibrillation with RVR: A Coincidence or Association

Nadhem

Salh

Khasawneh

2017

Case Reports in Critical Care

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“…The diagnosis of gastric volvulus is challenging because of its clinical non-specific and low frequency (11,12). Fluoroscopy is the standard for the diagnosis of gastric volvulus, CT scans are often is performed in the context of an acute abdomen and can be useful in the evaluation of gastric rotation; however, more commonly for the detection of other associated anomalies, such as gastric ischemia and hiatal hernia (12,13).…”

Section: Abstract (Mesh)mentioning

confidence: 99%

“…A nasogastric tube is inserted to decrease intragastric pressure (1,14), avoiding endoscopic reduction if the risk of perforation is high, especially in patients with ischemic changes of the mucosa (1). In patients with multiple comorbidities, laparoscopic repair may be attempted (15,16); however, emergency laparotomy remains the most common surgical option for patients with gastric volvulus (12). Surgical reduction with or without gastropexy is the most common procedure (3).…”

Section: Abstract (Mesh)mentioning

confidence: 99%

Vólvulo gástrico: aproximación diagnóstica mediante estudios especiales

Niño

Nieto

Castro

et al. 2019

Rev. colomb. radiol.

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Introducción: El vólvulo gástrico es el giro del estómago sobre alguno de sus ejes. Objetivo: Realizar una aproximación diagnóstica mediante estudios especiales, describir los diferentes tipos y sus características. Materiales y métodos: Se realizó una búsqueda en el sistema PACS (por las iniciales en inglés de picture archiving and communication system) institucional (2017 a 2019), seleccionando los estudios más representativos con diagnóstico de vólvulo gástrico; posteriormente, se construyeron esquemas para facilitar la comprensión de los hallazgos. Resultados y conclusiones: Esta información le permitirá al radiólogo y, más aún, al residente, abordar este dilema clínico y reconocer por medio de esta excelente herramienta los hallazgos de los dos subtipos (organoaxial y mesenteroaxial), resaltando la importancia de nominarlo adecuadamente, considerando aquellos pacientes sin indicación quirúrgica de emergencia.

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“…Incidence varies between children and adults, with rare cases in adults over 70 years of age. Due to the risk of strangulation, the outcome can present as necrosis, perforation and hypovolemic shock, with a mortality rate reaching 30 to 50%, requiring early diagnosis and approach [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

Hiatus hernia with gastric volvulus and duodenum component: a case report

Gimenez

Takahashi

Oliveira

et al. 2021

Journal of Surgical Case Reports

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Gastric volvulus is a rare condition defined as an abnormal stomach rotation around its axis, which usually presents in children under a year or in adults in their fifth decade. Cases over 70-year-old are rare and only 30% of cases of this disease present with mesenteric-axial rotation of the stomach. In this article, we report a rare case of mesenteroaxial gastric volvulus associated with hiatal hernia, in an 88-year-old woman, who presented to the Emergency Department of our institution with bowel obstruction symptoms. The diagnosis could be difficult due to the rarity of the pathology, the patient's age outside the expected incidence age range and the less common mesenteroaxial presentation. This report highlights the importance of the differential diagnosis of gastric volvulus as a cause of intestinal obstruction.

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Acute Gastric Volvulus in the Elderly: A Case Report and Review of the Literature

Cited by 6 publications

References 15 publications

Acute Gastric Volvulus and Atrial Fibrillation with RVR: A Coincidence or Association

Acute Gastric Volvulus and Atrial Fibrillation with RVR: A Coincidence or Association

Vólvulo gástrico: aproximación diagnóstica mediante estudios especiales

Hiatus hernia with gastric volvulus and duodenum component: a case report

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