Organoaxial Gastric Volvulus

An 84-year-old woman with known history of paraesophageal hiatal hernia presented with acute epigastric pain and vomiting. Laboratory testing revealed no clinically significant derangements. A computed tomography scan was performed, which revealed rotation of the stomach along its long axis with reversal of the greater and lesser curvatures, mimicking an inverted stomach appearance (Figure A). This finding was consistent with organoaxial gastric volvulus. The patient was emergently taken for laparotomy for detorsion of the stomach and gastropexy.
Source: Clinical Gastroenterology and Hepatology - Category: Gastroenterology Authors: Tags: Electronic Image of the Month Source Type: research