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Case Reports
. 2025 Jul 8;17(7):e87559.
doi: 10.7759/cureus.87559. eCollection 2025 Jul.

Mesenteroaxial Gastric Volvulus: A Report of a Rare Case

Jose Oswaldo Ferre Bello  1 , Carlos Iskyam Zaldo Arredondo  1 , Claudia Beatriz León González  1 , Karla Andrea Muñoz Rodríguez  1
Affiliations
Case Reports

Mesenteroaxial Gastric Volvulus: A Report of a Rare Case

Jose Oswaldo Ferre Bello et al. Cureus. .

Abstract

Gastric volvulus is a rare surgical emergency characterized by the rotation of the stomach by more than 180° along one of its axes, which can result in significant upper gastrointestinal obstruction. If not promptly treated, it can lead to severe complications and carries a considerable risk of morbidity and mortality. Clinically, patients typically present with epigastric pain, nausea, and vomiting of gastrointestinal contents. Diagnosis is primarily based on the patient's history and clinical presentation, with confirmation through imaging studies. Definitive treatment is surgical. We report the case of a 74-year-old male who presented to the emergency department with a 48-hour history of intestinal obstruction. Imaging confirmed a mesenteroaxial gastric volvulus, which required emergency surgical intervention. The patient had an uneventful postoperative recovery.

Keywords: gastric volvulus; intestinal occlusion; mesenteroaxial; tomography; untwisting.

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Conflict of interest statement

Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Abdominal X-ray showing a radiolucent area in the upper left quadrant corresponding to the stomach, which appears markedly distended
Figure 2
Figure 2. Abdominal CT scan showing mesenteroaxial gastric volvulus
(A) Distended gastric chamber. (B) Displacement of the antrum above the gastroesophageal junction. (C) Air-fluid level secondary to gastric obstruction caused by mesenteroaxial volvulus.
Figure 3
Figure 3. Intraoperative view showing gastric distension associated with volvulus
The gastric tissue appears viable, with no discoloration or signs of perforation.
See this image and copyright information in PMC

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References

    1. Acute stomach volvulus - case report. Hladík P, Čáp R, Holeček T. Acta Med. 2004;47:281–283. - PubMed
    1. Spontaneous acute mesenteroaxial gastric volvulus diagnosed by computed tomography scan in a young man. Jabbour G, Afifi I, Ellabib M, El-Menyar A, Al-Thani H. Am J Case Rep. 2016;17:283–288. - PMC - PubMed
    1. Laparoscopic treatment of acute gastric volvulus [Article in Spanish] García RM, Tomás NP, Del Pozo CD, Tarragón AV, Mas EM, Juan RT, Abad MM. Cir Esp. 2013;91:189–193. - PubMed
    1. Garrido Márquz I. RAPD ONLINE. Hospital Universitario Clínico San Cecilio; 2023. Acute Gastric Volvulation. Findings in Imaging Techniques.
    1. Gastric volvulus: a rare cause of upper gastrointestinal obstruction [Article in Spanish] Varela Vega M, Mandacen M, Madera F, Cubas S, Beraldo G, Santiago P. Salud Mil. 2018;37:60–63.

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