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Gastric Volvulus
Atif Zaheer, MD; Gabriela Gayer, MD; Michael P. Federle, MD, FACR
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Definitions

            • Uncommon acquired twist of stomach of at least 180° rotation on itself

          IMAGING

          • General Features

            • Radiographic Findings

              • Fluoroscopic Findings

                • CT Findings

                  • MR Findings

                    • Angiographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Asafu Adjaye Frimpong G et al: Concurrent occurrence of a wandering spleen, organoaxial gastric volvulus, pancreatic volvulus, and cholestasis - a rare cause of an acute abdomen. Radiol Case Rep. 14(8):946-51, 2019
                                          2. Julien C et al: Acute gastric volvulus: an uncommon and life-threatening disease. J Gastrointest Surg. 23(11):2307-8, 2019
                                          3. Mazaheri P et al: CT of gastric volvulus: interobserver reliability, radiologists' accuracy, and imaging findings. AJR Am J Roentgenol. 212(1):103-8, 2019
                                          4. Patel AV et al: Epigastric pain due to acute gastric volvulus. J Emerg Med. 57(6):e185-6, 2019
                                          5. Verde F et al: Gastric volvulus: unraveling the diagnosis with MPRs. Emerg Radiol. 26(2):221-5, 2019
                                          6. Akhtar A et al: Gastric volvulus: a rare entity case report and literature review. Cureus. 10(3):e2312, 2018
                                          7. Cantone N et al: Wandering spleen and organoaxial gastric volvulus after morgagni hernia repair: a case report and review of the literature. Case Rep Surg. 2016:6450765, 2016
                                          8. Millet I et al: Computed tomography findings of acute gastric volvulus. Eur Radiol. 24(12):3115-22, 2014
                                          9. Collet D et al: Management of large para-esophageal hiatal hernias. J Visc Surg. 150(6):395-402, 2013
                                          10. Cross BN et al: Roux-en-Y gastric bypass in the setting of congenital malrotation: a report and review of the literature. Surg Obes Relat Dis. 9(6):e91-5, 2013
                                          11. Toydemir T et al: Laparoscopic management of totally intra-thoracic stomach with chronic volvulus. World J Gastroenterol. 19(35):5848-54, 2013
                                          12. Bawahab M et al: Management of acute paraesophageal hernia. Surg Endosc. 23(2):255-9, 2009
                                          13. Chang CC et al: A surgical emergency due to an incarcerated paraesophageal hernia. Am J Emerg Med. 27(1):134, 2009
                                          14. Peterson CM et al: Volvulus of the gastrointestinal tract: appearances at multimodality imaging. Radiographics. 29(5):1281-93, 2009
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Clinical Issues

                                                • Diagnostic Checklist

                                                  TERMINOLOGY

                                                  • Definitions

                                                    • Uncommon acquired twist of stomach of at least 180° rotation on itself

                                                  IMAGING

                                                  • General Features

                                                    • Radiographic Findings

                                                      • Fluoroscopic Findings

                                                        • CT Findings

                                                          • MR Findings

                                                            • Angiographic Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Gross Pathologic & Surgical Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Asafu Adjaye Frimpong G et al: Concurrent occurrence of a wandering spleen, organoaxial gastric volvulus, pancreatic volvulus, and cholestasis - a rare cause of an acute abdomen. Radiol Case Rep. 14(8):946-51, 2019
                                                                                  2. Julien C et al: Acute gastric volvulus: an uncommon and life-threatening disease. J Gastrointest Surg. 23(11):2307-8, 2019
                                                                                  3. Mazaheri P et al: CT of gastric volvulus: interobserver reliability, radiologists' accuracy, and imaging findings. AJR Am J Roentgenol. 212(1):103-8, 2019
                                                                                  4. Patel AV et al: Epigastric pain due to acute gastric volvulus. J Emerg Med. 57(6):e185-6, 2019
                                                                                  5. Verde F et al: Gastric volvulus: unraveling the diagnosis with MPRs. Emerg Radiol. 26(2):221-5, 2019
                                                                                  6. Akhtar A et al: Gastric volvulus: a rare entity case report and literature review. Cureus. 10(3):e2312, 2018
                                                                                  7. Cantone N et al: Wandering spleen and organoaxial gastric volvulus after morgagni hernia repair: a case report and review of the literature. Case Rep Surg. 2016:6450765, 2016
                                                                                  8. Millet I et al: Computed tomography findings of acute gastric volvulus. Eur Radiol. 24(12):3115-22, 2014
                                                                                  9. Collet D et al: Management of large para-esophageal hiatal hernias. J Visc Surg. 150(6):395-402, 2013
                                                                                  10. Cross BN et al: Roux-en-Y gastric bypass in the setting of congenital malrotation: a report and review of the literature. Surg Obes Relat Dis. 9(6):e91-5, 2013
                                                                                  11. Toydemir T et al: Laparoscopic management of totally intra-thoracic stomach with chronic volvulus. World J Gastroenterol. 19(35):5848-54, 2013
                                                                                  12. Bawahab M et al: Management of acute paraesophageal hernia. Surg Endosc. 23(2):255-9, 2009
                                                                                  13. Chang CC et al: A surgical emergency due to an incarcerated paraesophageal hernia. Am J Emerg Med. 27(1):134, 2009
                                                                                  14. Peterson CM et al: Volvulus of the gastrointestinal tract: appearances at multimodality imaging. Radiographics. 29(5):1281-93, 2009