The improbable concurrent diagnoses of gastric volvulus
and leprosy initially led us to speculate that a prolonged gastroparesis in the setting of infection and systemic inflammation led to massive gastric distention and only secondarily to subsequent intermittent volvulus.
Three anatomic categories of gastric volvulus
have been identified: organoaxial, mesenteroaxial, and combination.
Kuan, "Acute gastric volvulus
: a rare but real surgical emergency," American Journal of Emergency Medicine, vol.
is defined as an abnormal, acquired rotation of the stomach of more than 180 degrees, creating a closed loop obstruction.
Lofrus observed, the clinical presentation and endoscopic findings raise a red flag for chronic gastric volvulus
. In particular, the reported earlier difficulty in passing the endoscope suggests a mechanical problem.
In primary gastric volvulus
, the diaphragm is usually intact and pathology lies in the abnormal fixation of the stomach owing to lax attachments.
is potentially lifethreatening with mortality rates as high as 50% as the major causes of death are secondary to complications from strangulation including perforation, hemorrhage, and shock [1, 2, 7].
: Two cases and a review of the literature.
Complications include pancreatitis, bowel obstruction, gastric volvulus
, gastric and duodenal compression and most commonly splenic infarction.
Clinical suspicion of acute gastric volvulus
is based on Borchart's triad: (i) severe, sudden epigastric pain; (ii) intractable retching without vomit production; and (iii) inability to pass a nasogastric tube into the stomach.
There are 2 major types of gastric volvulus
, organoaxial and mesenteroaxial.
 The infants presented in later life had recurrent mild respiratory illnesses, chronic pulmonary disease, pneumonia, effusion, empyema, and gastric Volvulus