2022
DOI: 10.7759/cureus.26862
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Gastric Volvulus: Diagnosis and Successful Endoscopic De-rotation Towards Conservative Management in a Patient With Multiple Comorbidities

Abstract: Gastric volvulus is a condition that is not frequently seen in clinical practice and can present with a myriad of symptoms, meaning it can be challenging to diagnose. We present an 82-year-old female attending the emergency department with epigastric pain and coffee ground vomiting on a background of rectosigmoid cancer and a large, complex hiatus hernia. On investigation there was no drop in haemoglobin. However, the chest X-ray showed air-fluid levels and raised the suspicion of gastric volvulus, particularl… Show more

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Cited by 6 publications
(7 citation statements)
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“…This transformation was identified through changes in symptoms and confirmed via comparisons of previous endoscopies, chest X-rays, and CT scans with recent barium swallow studies. Further exploration through additional case reports and research could shed light on the progression of symptoms in patients with HHs, offering valuable insights into the condition's course and management and would assist in avoiding complications like gastric volvulus as reported by Zafar et al [ 22 ].…”
Section: Discussionmentioning
confidence: 99%
“…This transformation was identified through changes in symptoms and confirmed via comparisons of previous endoscopies, chest X-rays, and CT scans with recent barium swallow studies. Further exploration through additional case reports and research could shed light on the progression of symptoms in patients with HHs, offering valuable insights into the condition's course and management and would assist in avoiding complications like gastric volvulus as reported by Zafar et al [ 22 ].…”
Section: Discussionmentioning
confidence: 99%
“…The management of an acute gastric volvulus includes fluid resuscitation, correction of electrolyte imbalances and urgent decompression and de-rotation, that can be initially achieved by nasogastric tube placement [ 10 ]. Upper endoscopy can also help in gastric decompression by guiding the nasogastric tube placement and stomach de-rotation by restoring the stomach to its normal anatomic position.…”
Section: Discussionmentioning
confidence: 99%
“…Upper endoscopy can also help in gastric decompression by guiding the nasogastric tube placement and stomach de-rotation by restoring the stomach to its normal anatomic position. However, it does not provide a definitive treatment [ 10 ].…”
Section: Discussionmentioning
confidence: 99%
“…Initial decompression with nasogastric tube was also tried but failed. Attempts of gastric decompression by endoscopic aspiration and gastrostomy, and laparoscopic gastric fixation have also been described in the literature [ 8 ]. In our case, the volvulus being intra-thoracic, decompression by endoscopic decompression was ruled out as a measure of decompression.…”
Section: Discussionmentioning
confidence: 99%