Gastric volvulus is a rare and life-threatening abdominal pain

Authors

  • Raúl Omar Martínez Zarazúa Department of Plastic Surgery, University Hospital of Nuevo León, Mexico http://orcid.org/0000-0001-8387-2637
  • Hector Vergara Miranda Department of General Surgery, University Hospital of Nuevo León, Mexico
  • Rafael Sáenz Resendez Department of General Surgery, University Hospital of Nuevo León, Mexico
  • Cesar Adrián Sepulveda Benavides Department of General Surgery, University Hospital of Nuevo León, Mexico
  • Daniel Eduardo Saldívar Martínez CIRUGÍA PLÁSTICA, HOSPITAL NUIVERSITARIO DE NUEVO LEON

DOI:

https://doi.org/10.18203/2349-2902.isj20214402

Keywords:

Gastric volvulus, Para-esophageal hernia, Anterior gastropexy

Abstract

Gastric volvulus is a rare and life-threatening abdominal pain condition resulting from the stomach twisting on its own longitudinal (organo-axial) or transverse (mesentero-axial) axis. Gastric volvulus can be primary or secondary. Secondary is most commonly related to para-esophageal hernia. Gastric volvulus can have an acute or chronic presentation, the acute form presents abdominal pain with a risk of gastric ischemia with subsequent perforation. Diagnosis is made by imaging studies such as barium contrast studies in the upper digestive tract or abdominal and chest computed tomography (CT). CT of the abdomen and thorax is very useful in the diagnosis as it can demonstrate the abnormal position and gastric torsion The goal in the definitive treatment of gastric volvulus is resolution of gastric obstruction and prevention of recurrence. Performing volvulus reduction, repair of the concomitant cause (para-esophageal hernia), fundoplication and/or gastropexy to the anterior abdominal wall. Gastropexy is considered safe and effective in elderly patients with high surgical risk.

Author Biographies

Raúl Omar Martínez Zarazúa, Department of Plastic Surgery, University Hospital of Nuevo León, Mexico

Residente Cirugía General, Hospital Universitario de Nuevo León

Hector Vergara Miranda, Department of General Surgery, University Hospital of Nuevo León, Mexico

CIRUGÍA GENERAL, HOSPITAL NUIVERSITARIO DE NUEVO LEON

Rafael Sáenz Resendez, Department of General Surgery, University Hospital of Nuevo León, Mexico

CIRUGÍA GENERAL, HOSPITAL NUIVERSITARIO DE NUEVO LEON

Cesar Adrián Sepulveda Benavides, Department of General Surgery, University Hospital of Nuevo León, Mexico

CIRUGÍA GENERAL, HOSPITAL NUIVERSITARIO DE NUEVO LEON

Daniel Eduardo Saldívar Martínez, CIRUGÍA PLÁSTICA, HOSPITAL NUIVERSITARIO DE NUEVO LEON

CIRUGÍA PLÁSTICA, HOSPITAL NUIVERSITARIO DE NUEVO LEON

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Published

2021-10-28

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Section

Case Reports