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Gastric volvulus: a potentially fatal cause of acute abdominal pain
  1. A Sleiwah1,
  2. G Thomas2,
  3. I Crawford3,
  4. A Stanek4
  1. 1Department of Plastic Surgery, NIMDTA, Belfast, UK
  2. 2Department of General Surgery, Western Trust, Enniskillen, UK
  3. 3Department of Emergency Medicine, South West Acute Hospital, Enniskillen, UK
  4. 4Department of General Surgery, South West Acute Hospital, Enniskillen, UK
  1. Correspondence to A Sleiwah, aseelnajeeb{at}


A woman aged 67 years attended the emergency department with acute abdominal and back pain of 1-day duration with associated vomiting. The patient had multiorgan failure. Resuscitation was started with intravenous fluids and vasopressors. An abdominal CT scan was completed which confirmed the diagnosis of acute gastric volvulus. The patient was successfully resuscitated from a cardiorespiratory arrest during transfer to the operating theatre. The patient subsequently underwent a total gastrectomy with stapling of the oesophageal and duodenal stumps. The abdomen was packed and left open as a laparostomy with a planned relook 48 hours later was to be performed. Unfortunately, the patient continued to deteriorate postoperatively in the intensive care unit despite maximum organ support for multiorgan failure. A decision was made to withdraw treatment and the patient died 10 hours postoperative. This case illustrates the presentation of acute gastric volvulus at a late stage and the high mortality rate associated with it.

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  • Contributors AS is the writer of the case report. GT is responsible for the idea of the case report and proof reading. IC is responsible for proof reading. ASt is responsible for proof reading.

  • Competing interests None declared.

  • Patient consent Obtained.

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