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Case Reports
. 2021 May 25;59(237):506-509.
doi: 10.31729/jnma.6519.

Mesenteroaxial Gastric Volvulus: A Case Report

Sampanna Pandey  1 , Madhav Paudel  1 , Anuj Parajuli  1 , Roshan Ghimire  1 , Asmita Neupane  2
Affiliations
Case Reports

Mesenteroaxial Gastric Volvulus: A Case Report

Sampanna Pandey et al. JNMA J Nepal Med Assoc. .

Abstract

Gastric volvulus is defined as an abnormal rotation of the stomach. Classical textbook presentation may not always be present. Meticulous assessment and broadened differential diagnosis are thus crucial. Various types have been described in literature. Low threshold for detection with aggressive resuscitation and immediate surgical exploration on suspected incarceration or perforation are mandatory. We report a case of 16-years-female who had atypical presentation of mesenteroaxial gastric volvulus. Emergency exploratory laparotomy with wedge resection and primary repair of stomach with anterolateral gastropexy was performed. She had uneventful recovery with discharge on fifth postoperative day.

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Conflict of interest statement

None.

Figures

Figure 1.
Figure 1.. Abdominal X-ray of the patients revealed distended stomach with air fluid level.
Figure 2.
Figure 2.. CECT abdomen and pelvis.
Figure 3.
Figure 3.. A) Mesenteroaxial volvulus with ischemia and gangrene over greater curvature B) Before closure.
See this image and copyright information in PMC

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