Buscar en
Gastroenterología y Hepatología
Toda la web
Inicio Gastroenterología y Hepatología Acute gastric volvulus
Información de la revista
Vol. 41. Núm. 10.
Páginas 652-653 (Diciembre 2018)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 41. Núm. 10.
Páginas 652-653 (Diciembre 2018)
Image of the month
Acceso a texto completo
Acute gastric volvulus
Vólvulo gástrico agudo
Visitas
...
Rubén Sánchez-Aldehuelo
Autor para correspondencia
ruben.sanchez.aldehuelo@gmail.com

Corresponding author at: Hospital Ramón y Cajal, Carretera de Colmenar Viejo km 9.100, 28034 Madrid, Spain.
, Irene Garcia de la Filia-Molina, Rosa Maria Martin-Mateos
Gastroenterology and Hepatology Unit, Hospital Ramon y Cajal, Madrid, Spain
Información del artículo
Texto completo
Descargar PDF
Estadísticas
Figuras (1)
Texto completo

A 89-year-old man presented to the Emergency department with a 2-day history of vomiting and mild epigastric pain. He reported no fever, weight loss, diarrhea, melena or rectal bleeding. His past medical history was remarkable for chronic kidney disease, dilated cardiomyopathy and moderate dementia. Physical examination revealed a distended upper abdomen with dullness to percussion and epigastric pain with no rebound. Laboratory findings were within normal range but the abdominal X-ray showed a large gas bubble located in the epigastrium corresponding to a dilated stomach (Fig. 1A). A CT scan showed a 180° gastric rotation with the double air-fluid level sign, suggesting a mesenteroaxial volvulus, identifying the antrum displaced below the gastroesophageal junction (Figs. 1B and 1C). Considering age and comorbidities, the patient benefited from a non-surgical approach. An upper endoscopy allowed gastric derotation and resolution of the volvulus. A nasogastric tube was placed, per oral nutrition was progressively restarted and 10 days later an endoscopic gastrostomy was performed to fix the stomach to the abdominal wall and prevent further episodes. The patient was discharged with no other issues and was able to return to his usual activity.

Figure 1.

(A) Abdominal X-ray with a large gas bubble corresponding to a dilated stomach. (B) Axial CT-scan showing an abnormal stomach disposition with accumulation of fluid and gas within the distended gastric cavity. 1, Ascended antrum on the right side of the abdomen; 2, Gastric volvulus’ axis of rotation; 3, Descended fundus on the left side of the abdomen. (C) Coronal CT-scan showing a mesenteroaxial gastric volvulus, where the stomach rotates around its short axis (perpendicular line connecting its greater and lesser curvatures). 1, Ascended antrum; 2, Descended fundus.

(0,18MB).
Conflicts of interest

The authors declare no conflicts of interest.

Copyright © 2018. Elsevier España, S.L.U.. All rights reserved
Opciones de artículo
Herramientas
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos