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Acute idiopathic mesenteroaxial gastric volvulus managed laparoscopically
  1. Maia Hare,
  2. Ruben Salas-Parra,
  3. Jasmin Neal and
  4. Vihas Patel
  1. Department of Surgery, Northwell Health, New Hyde Park, New York, USA
  1. Correspondence to Dr Ruben Salas-Parra; rsalasparra{at}northwell.edu

Abstract

Gastric volvulus is an uncommon cause of upper gastrointestinal obstruction that occurs when the stomach twists along its vertical (organoaxial) or horizontal (mesenteroaxial) axis. Its rarity combined with its non-specific presentation makes gastric volvulus a diagnostic challenge, especially when the volvulus occurs without underlying structural abnormality such as hiatal hernia. The organoaxial type comprises most cases of this rare diagnosis. Few cases of mesenteroaxial volvulus have been reported in children and even fewer in adults. Here, we present a rare case of acute, idiopathic mesenteroaxial volvulus in a patient in his 70s, that was successfully managed laparoscopically.

  • Stomach and duodenum
  • Gastrointestinal surgery

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Footnotes

  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms and critical revision for important intellectual content: MH, RSP, JN and VP. The following authors gave final approval of the manuscript: MH, RSP, JN and VP.

  • 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.