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Radiology
Mesentero-axial gastric volvulus with gastric outlet obstruction
  1. Saraswathula Bharadwaj1,
  2. Shirish Vaidya1,
  3. Pratapsingh Parihar1 and
  4. Gaurav Vedprakash Mishra2
    1. 1Radiodiagnosis, Datta Meghe Institute of Higher Education & Research, Wardha, Maharashtra, India
    2. 2Radiodiagnosis, Datta Meghe Institute of Medical Sciences - Wardha Campus, Wardha, Maharashtra, India
    1. Correspondence to Dr Gaurav Vedprakash Mishra; gaurav.mishra{at}dmimsu.edu.in

    Abstract

    This case report describes a woman in her late 50s with mesenteric volvulus, an uncommon and potentially fatal condition. She developed excessive abdominal distension, nausea and vomiting for a duration of 2 days. The preliminary ultrasound indicated a large, thick-walled, tight fluid region in her upper abdomen, indicating a probable gastric outlet obstruction. A subsequent contrast-enhanced CT scan of the abdomen confirmed the diagnosis, showing significant distension of the stomach with a thick septum displacing adjacent organs. The mesenteric volvulus was surgically treated as an emergency to restore blood flow to the afflicted mesentery. This condition poses a serious concern due to decreased blood flow and ischaemia, and this example emphasises the necessity of a CT scan for early and precise diagnosis and offers a comprehensive insight into the nature of the volvulus, resulting in prompt surgical treatment and improved patient outcome.

    • Gastroenterology
    • Gastro-oesophageal reflux

    https://doi.org/10.1136/bcr-2024-260879

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      Footnotes

      • Contributors SV: made a substantial contribution to the design of the article and interpretation of imaging findings. SB drafted the article. PP revised it critically for important intellectual content. GVM approved the version to be published; agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved; and is responsible for the overall content as guarantor. SB, SV, PP, GVM were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, critical revision for important intellectual content and final approval of the manuscript. Guarantor: GVM.

      • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

      • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

      • Competing interests None declared.

      • Provenance and peer review Not commissioned; externally peer reviewed.