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Emerg Radiol 2019 Jan 14. Epub 2019 Jan 14.

The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, 601 N Caroline St, Room 4223, Baltimore, MD, 21287, USA.

Gastric volvulus is a rare entity with a spectrum of acute and chronic clinical presentations. Body radiologists must be cognizant of the subtypes of gastric volvulus and identify potential complications. Mortality can be high if unrecognized from gastric necrosis, perforation, and sepsis. Read More

J S Afr Vet Assoc 2018 Nov 6;89(0):e1-e5. Epub 2018 Nov 6.

Department of Companion Animal Clinical Studies, University of Pretoria.

A 12-year-old spayed Newfoundland bitch was presented with chronic non-productive vomiting, regurgitation and coughing of six weeks' duration. On clinical examination, the dog was depressed with no other significant findings. Haematology and biochemistry investigations detected no abnormalities. Read More

Magn Reson Med Sci 2018 Nov 6. Epub 2018 Nov 6.

Department of Radiology, Shiga University of Medical Science.

AJR Am J Roentgenol 2019 Jan 7;212(1):103-108. Epub 2018 Nov 7.

1 Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110.

Objective: The objective of this study was to identify CT findings and determine interobserver reliability of surgically proven gastric volvulus.

Materials And Methods: This single-center retrospective study included 30 patients (21 women, nine men; mean age, 73 years old) with surgically proven gastric volvulus who underwent preoperative CT and 31 age- and sex-matched control subjects (21 women, nine men; mean age, 74 years old) with large hiatal hernias who were imaged for reasons other than abdominal pain. Two blinded radiologists reviewed the CT images and recorded findings of organoaxial and mesenteroaxial gastric volvulus and ischemia. Read More

Vet Radiol Ultrasound 2018 Oct 11. Epub 2018 Oct 11.

The Royal (Dick) School of Veterinary Studies and Roslin Institute, The University of Edinburgh, Roslin, EH25 9RG, UK.

Gastric pneumatosis is an imaging finding defined as the presence of gas foci in the gastric wall. In humans, this imaging feature can result from one of two separate clinical entities: life-threatening emphysematous gastritis or clinically benign gastric emphysema. This retrospective case series study describes the clinical and imaging features in five animals diagnosed with spontaneous gastric pneumatosis without gastric dilatation-volvulus. Read More

Cir Pediatr 2018 Aug 3;31(3):153-157. Epub 2018 Aug 3.

Hospital Guillermo Grant Benavente. Facultad de Medicina, Universidad de Concepción. Chile.

Introduction: Gastric volvulus is a rare cause of acute abdomen in childhood, and it is usually a casual finding. We present the case of a girl with mesenteroaxial gastric volvulus, which was initially treated by endoscopic approach.

Clinical Case: 8 year-old patient, diagnosed of Down syndrome, who presented sudden and diffuse colic pain, associated with vomiting, sialorrhea and progressive compromise. Read More

BMJ Case Rep 2018 Sep 12;2018. Epub 2018 Sep 12.

Infectious Diseases, Hospital Universitari Son Espases, Palma de Mallorca, Spain.

BMC Surg 2018 08 29;18(1):67. Epub 2018 Aug 29.

Department of General Surgery, Dow University of Health Sciences, Civil Hospital Karachi, Karachi, Pakistan.

Background: Morgagni's hernia (MH) is a rare type of congenital diaphragmatic hernia with limited available literature. Late presentations are infrequent and the ones complicated due to gastric volvulus are even rarer. Another uncommon association of MH is with small bowel diverticulosis. Read More

J Surg Case Rep 2018 Aug 22;2018(8):rjy227. Epub 2018 Aug 22.

Department of Surgery B, Coimbra Hospital and University Center, Praceta Prof. Mota Pinto, 3000-075 Coimbra, Portugal.

Gastric volvulus is an uncommon cause of gastric obstruction. It can be classified as primary when no underlying condition is identified as the cause for the rotation. An acute presentation includes typical symptoms and is frequently detected by imaging studies. Read More

BMJ Case Rep 2018 Jul 19;2018. Epub 2018 Jul 19.

Department of Emergency Medicine, Emergency Medicine Research Center (Al-Zahra Research Institute), Isfahan University of Medical Sciences, Isfahan, Iran.

Pneumatosisintestinalis (PI) is a radiological finding with about 0.03% incidence and incompletely understood pathogenesis. We report a case of PI with a rare presentation of pneumoperitoneum that underwent diagnostic surgery and finally diagnosed by midgut malrotation and antral stenosis. Read More

J Vet Emerg Crit Care (San Antonio) 2018 Jul 15;28(4):346-355. Epub 2018 Jun 15.

Department of Emergency and Critical Care, Angell Animal Medical Center, Boston, MA, 02130.

Objectives: To describe 2 cases of gastric dilatation-volvulus (GDV) in cats. To describe 2 unique clinical settings in which the disease occurs in cats, and to highlight the differences between GDV in cats and dogs.

Case Series Summary: Two neutered female Persian cats were presented for evaluation of respiratory distress. Read More

Obes Surg 2018 Sep;28(9):2941-2948

Department of Surgery, Morehouse School of Medicine, 720 Westview Dr, SW, Atlanta, GA, 30310, USA.

To review the entity "black esophagus" and sequela of a slipped laparoscopic adjustable band. The patient's history, physical examination, imaging, and endoscopic findings were reviewed. Detailed review of pathophysiology, presentation, diagnosis, management, and natural history was conducted. Read More

Case Rep Gastrointest Med 2018 1;2018:2961063. Epub 2018 Apr 1.

Department of Gastroenterology, New York Medical College at St. Joseph's Regional Medical Center, Paterson, NJ, USA.

Gastric volvulus is an abnormal, potentially life-threatening, torsion of the stomach. The presence of complications such as hemoperitoneum increases the diagnostic urgency; however it can also mask the presentation of gastric volvulus. We encountered a 66-year-old female who presented with symptomatic gastric outlet obstruction and was found to have hemoperitoneum and splenic avulsion on imaging. Read More

BMJ Case Rep 2018 May 15;2018. Epub 2018 May 15.

Surgery and Critical care, Furness General Hospital, Barrow-in-Furness, UK.

A 42-year-old Caucasian woman presented to the emergency department with severe upper abdominal pain and vomiting. Clinically, she was septic, and abdominal examination suggested peritonitis. Following immediate resuscitation, the patient was stabilised and underwent urgent contrast-enhanced CT of the abdomen and pelvis. Read More

Cureus 2018 Mar 12;10(3):e2312. Epub 2018 Mar 12.

Department of Hospital Medicine, Texas Tech University Health Sciences Center.

Gastric volvulus is a rare entity defined as an abnormal rotation of the stomach around itself. It is a diagnosis of exclusion; the clinical index of suspicion is always low and is mostly diagnosed on imaging or on the surgery table. When it occurs, it is an emergency due to the risk of strangulation and consequent gangrene of the stomach. Read More

Int J Surg Case Rep 2018 16;45:45-50. Epub 2018 Mar 16.

Department of General Surgery, B.J. Medical College & Sassoon General Hospital, Near Pune Railway Station, Pune, Maharashtra, 411001, India. Electronic address:

Introduction: Simultaneous occurrence of Morgagni and the Para-esophageal hernia is a rare clinical condition with eight case reports in the English-language literature and only four managed laparoscopically. We describe a case of a Septuagenarian patient with Morgagni and concomitant Para-esophageal hernia treated laparoscopically.

Presentation Of A Case: A 71-year-old male patient, presented with a one-month history of regurgitation of acid, retrosternal burning and vomiting after eating. Read More

J Med Case Rep 2018 Mar 4;12(1):56. Epub 2018 Mar 4.

Wake Forest School of Medicine, Medical Center Blvd, Winston Salem, NC, 27157, USA.

Background: Trisomy 13 is one of the most common autosomal trisomies, and although increasing in number, patients surviving past the neonatal period remain rare. The natural history and expected complications in these patients as they age remains unknown. Despite the rarity of this condition, unusual malignancies have been reported in the medical literature for decades. Read More

Abdom Radiol (NY) 2018 Sep;43(9):2246-2254

Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA.

Intestinal malrotation is a continuum of congenital anomalies due to lack of rotation or incomplete rotation of the fetal intestine around the superior mesenteric artery axis. The abnormal bowel fixation (by mesenteric bands) or absence of fixation of portions of the bowel increases the risk of bowel obstruction, acute or chronic volvulus, and bowel necrosis. The clinical presentation of patients with malrotation without, with intermittent, or with chronic volvulus can be problematic, with an important minority presenting late or having atypical or chronic symptoms, such as intermittent vomiting, abdominal pain, duodenal obstruction, or failure to thrive. Read More

BMC Cancer 2017 Nov 29;17(1):801. Epub 2017 Nov 29.

Department of Oncology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China.

Background: Acute gastric volvulus (GV) is a rare disease with high mortality rate often associated with anatomic abnormalities. Thymoma is the most common neoplasm located in the anterior mediastinum. There is no reported relationship between thymoma and GV. Read More

Am J Case Rep 2017 Nov 29;18:1261-1265. Epub 2017 Nov 29.

Assia Medical Group, Tel Aviv, Israel.

BACKGROUND A Bochdalek hernia (BH) is a rare congenital condition consisting of a posterolateral defect in the diaphragm. A para-esophageal hernia (PEH) is a rare variant of hiatus hernia. BH and PEH may present with gastric volvulus or incarceration, requiring emergency treatment. Read More

Gastroenterology 2018 Jan 24;154(1):e1-e2. Epub 2017 Nov 24.

Gastroenterology Department, Centro Hospitalar de Setubal, Setúbal, Portugal.

Int J Surg Case Rep 2017 13;41:366-369. Epub 2017 Nov 13.

1 Hurley Plaza, 7 B Trauma services Flint, Michigan, 48503, USA. Electronic address:

Introduction: Gastric volvulus (GV) is a rare and life threatening condition if not treated promptly or wrongly diagnosed. The main complication of gastric volvulus is foregut obstruction. The extreme rotation can cut off blood supply to the stomach and even distal organs, which can lead to ischemia and necrosis of the affected area. Read More

Rev Esp Enferm Dig 2018 Jan;110(1):59-62

Cirugía General, Hospital Universitario Vall d´Hebron, España.

Background: We have recently demonstrated the feasibility of lengthening the duodenum in children with short bowel syndrome and a dilated duodenum. This procedure gains additional intestinal length in a challenging area of autologous gut reconstruction. Herein, we report the successful application of this technique in an adult with ultra-short bowel syndrome. Read More

Niger J Surg 2017 Jul-Dec;23(2):145-147

Department of Surgery, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.

Gastric volvulus is a rare medical entity that requires high index of suspicion for diagnosis and treatment as it has different implications in terms of clinical presentation, diagnosis, imaging support, pathological behavior, and evaluation. When it presents acutely, it may be easily detected. However, in patients with subacute presentation, symptoms are vague due to episodic twisting and untwisting. Read More

Vet Rec 2017 Nov 19;181(21):563. Epub 2017 Oct 19.

School of Veterinary and Life Sciences, Murdoch University, Murdoch, Western Australia, Australia.

The clinical features and management of food engorgement (FE) in dogs have not been previously described. This retrospective observational study describes characteristics and outcome of 35 dogs with FE, and compares features on presentation to 36 dogs with gastric dilation and volvulus (GDV). Cases were retrospectively reviewed for history, clinical findings and outcome. Read More

J Gynecol Obstet Hum Reprod 2017 May 31;46(5):417-422. Epub 2017 Mar 31.

Université Paris Diderot, université Sorbonne Paris-Cité, 75018 Paris, France; Service de chirurgie digestive, hôpital Louis-Mourier, hôpitaux universitaires Paris-Nord Val de Seine, Assistance publique-Hôpitaux de Paris, 92700 Colombes, France.

Objective: To assess complications and outcomes of pregnancies following laparoscopic abdominal surgery during the second and third trimesters of pregnancy.

Material And Methods: Retrospective single-center study of 23 cases of laparoscopic surgery in the second or third trimesters of pregnancy between January 2005 and May 2016.

Results: The laparoscopies were performed between 15 and 33 weeks of gestation, a mean of 23 weeks+2 days, with 6 cases in the 3rd trimester. Read More

J Emerg Med 2017 Nov 12;53(5):e109-e110. Epub 2017 Sep 12.

Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, San Antonio, Texas.

J Gastrointest Surg 2017 Dec 14;21(12):2129-2131. Epub 2017 Aug 14.

Department of General Surgery, Banner University Medical Center, 1441 N. 12th St, 2nd floor, Phoenix, AZ, 85006, USA.

Ischemic necrosis is a feared complication of acute gastric volvulus, occurring in 11% of patients presenting with the condition and responsible for mortality in 30%. In such cases, there are few well-validated options for surgical reconstruction. We present the case of a 77-year-old woman with intraabdominal mesenteroaxial gastric volvulus with segmental ischemic gastric necrosis who underwent wedge gastrectomy and hand-sewn gastrogastrostomy. Read More

Arch Argent Pediatr 2017 08;115(4):e233-e236

Servicios de Neonatología, Centro de Medicina Maternofetal y Neonatología de Barcelona (BCNatal). Hospital Clínic y Hospital Sant Joan de Déu. Barcelona, España.

Intestinal cystic duplications are rare congenital anomalies, with an estimated incidence of approximately 1:4500 autopsies. The etiopathogenesis is uncertain. These duplications are cystic, tubular or diverticular structures lined with gastrointestinal mucosa. Read More

Emerg Med J 2016 Nov;33(11):829-830

Department of Diagnostic Radiology, Khoo Teck Puat Hospital, Singapore.

BMJ Case Rep 2017 Mar 8;2017. Epub 2017 Mar 8.

Department of General Surgery, South West Acute Hospital, Enniskillen, UK.

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. Read More

Ned Tijdschr Geneeskd 2017 ;161:D915

Zaans Medisch Centrum, Zaandam.

An 84-year-old woman was seen with symptoms of an obstructive ileus. CT imaging revealed a volvulus of her intrathoracic stomach. This was successfully treated with gastroscopic detorsion. Read More

Rev Esp Enferm Dig 2017 Apr;109(4):306-308

UGC Aparato Digestivo, Hospital Universitario Virgen del Rocío.

Background: Colonic obstruction is a relatively common condition in emergency care, with a mortality rate of up to 20%. In 90% of cases it results from colonic or rectal adenocarcinoma, volvulus, or stenosis secondary to diverticular disease. When fecal impaction is the underlying cause, the condition is usually managed conservatively, but may on occasion become complicated and even require surgical intervention. Read More

N Engl J Med 2017 Jan;376(3):e3

Houston Methodist Hospital, Houston, TX

Rev Med Inst Mex Seguro Soc 2017 Jan-Feb;55(1):114-117

Servicio de Medicina Interna, Hospital General de Zona 197, Delegación Estado de México Oriente. Instituto Mexicano del Seguro Social, Texcoco, Estado de México, México.

The interposition of a portion of the colon between the liver and the diaphragm is called Chilaiditi sign and discovered incidentally during radiological study for other reasons and usually asymptomatic presentation. When the discovery is accompanied by clinical symptoms such as abdominal pain, nausea, vomiting, bloating, constipation called Chilaiditi Syndrome. The Chilaiditi sign is a very rare condition, and the Chilaiditi syndrome is even more, especially if associated with other acute diseases. Read More

Eur J Med Genet 2017 Feb 9;60(2):100-104. Epub 2016 Nov 9.

Centre de Génétique Humaine, Cliniques Universitaires St. Luc, U.C.L., Brussels.

"Serpentine-like syndrome" is a severe and rare association of multiple congenital malformations, characterised by brachioesophagus, secondary intrathoracic stomach, and vertebral anomalies. Other associated anomalies have been described, such as malposition and herniation of abdominal organs. We report the natural history of a baby girl born at 29 weeks of gestation with intra uterine growth restriction, short neck, large rachischisis from cervical to thoracic spine, a very short oesophagus, thoracic stomach associated with a midline diaphragmatic hernia, malrotated gut and median cleft lip. Read More

Ann R Coll Surg Engl 2017 Feb 28;99(2):e58-e59. Epub 2016 Oct 28.

Addenbrooke's Hospital , Cambridge , UK.

Despite the decreasing popularity of gastric banding, a large number of patients still have a band in situ. Although immediate postoperative complications are relatively rare, long-term complications of gastric banding are more common but are not reported to occur after band removal. We report a case of gastric volvulus and subsequent ischaemic perforation in a patient shortly after band removal, resulting in emergency laparotomy and total gastrectomy. Read More

Vet Rec 2016 Dec 26;179(24):626. Epub 2016 Oct 26.

School of Veterinary Science, University of Liverpool, Neston, UK.

Objective: Describe the location of the pylorus using CT in dog breeds susceptible to gastric dilatation-volvulus in the UK.

Methods: Descriptive anatomical study. Abdominal CT scans of 57 client-owned dogs were reviewed to assess pyloric position relative to the 9th, 10th, 11th and 13th ribs and 2 and 3 cm caudal to the 13th rib at the 8, 9 and 10 o'clock positions. Read More

Clin Imaging 2016 Nov - Dec;40(6):1173-1181. Epub 2016 Aug 6.

Department of Internal Medicine, Pratumtani Hospital, 7 Ladlumkaew Muang District, Pratumtani 12000, Thailand. Electronic address:

The duodenum is a short segment of the bowel that is frequently overlooked on radiologic examination. This unique portion occupies both intraperitoneal and extraperitoneal locations, with proximity to many visceral organs, including pancreas, stomach, aorta, and liver. This close proximity creates a differentiation challenge for the radiologist. Read More

Rozhl Chir Summer 2016;95(7):291-3

Unlabelled: Internal abdominal hernias present an infrequent surgical diagnosis and are usually encountered accidentally during surgery. They are generally considered as an extremely rare cause of ileus. In our article we present the case of a 69-year-old healthy female who was operated for suspected gastric volvulus as suggested by the CT scan; however, upon surgery, herniation of the right-sided colon into the omental bursa with subsequent cecal dilation and bowel wall necrosis was revealed to be the true culprit. Read More

Am J Med 2017 Feb 1;130(2):e47-e49. Epub 2016 Aug 1.

Department of Gastroenterology, University of Illinois College of Medicine at Peoria.

Autops Case Rep 2016 Jan-Mar;6(1):21-6. Epub 2016 Mar 30.

Department of Pathology - Mount Sinai Medical Center, Miami Beach/FL - USA.; Herbert Wertheim College of Medicine - Florida International University, Miami/FL - USA.

Gastric volvulus is a rare condition resulting from rotation of the stomach beyond 180 degrees. It is a difficult condition to diagnose, mostly because it is rarely considered. Furthermore, the imaging findings are often subtle resulting in many cases being diagnosed at the time of surgery or, as in our case, at autopsy. Read More

J Med Case Rep 2016 May 31;10(1):138. Epub 2016 May 31.

Radiology Department, University of Messina, Policlinico G. Martino, Gazzi, Messina, 98100, Italy.

Background: Gastric volvulus is a clinically significant cause of acute or recurrent abdominal pain and chronic vomiting in children. Since related clinical symptoms are nonspecific, clinicians often refer to radiologists for a diagnostic evaluation. Early diagnosis is crucial to prevent life-threatening complications of prolonged volvulus, such as intestinal ischemia, infarction, strangulation, necrosis, and perforation that may require immediate surgical treatment. Read More

Am J Case Rep 2016 Apr 26;17:283-8. Epub 2016 Apr 26.

Department of Surgery, Hamad General Hospital, Doha, Qatar.

Background: Acute gastric volvulus is a surgical emergency that requires early recognition and treatment. Acute idiopathic mesenteroaxial gastric volvulus is a rare sub-type and there are few cases reported in children and there are even fewer reports in adults.

Case Report: We report a rare case of a 23-year-old man who presented with a 1-day history of vomiting, epigastric pain, distention, and constipation. Read More

Vet Surg 2016 May 18;45(4):456-63. Epub 2016 Apr 18.

Department of Population Health and Reproduction, School of Veterinary Medicine, University of California-Davis, Davis, California.

Objective: To describe a novel percutaneous radiologic gastropexy (PRG) technique in a canine model and to biomechanically compare this technique to open incisional gastropexy (OIG) and laparoscopic-assisted incisional gastropexy (LAG).

Study Design: Randomized ex vivo biomechanical study.

Animals: Canine cadavers. Read More

Gastroenterology 2016 05 26;150(5):e1-e2. Epub 2016 Mar 26.

Department of Gastroenterology and Hepatology, Staten Island University Hospital/Northwell Health, Staten Island, New York.

Vet Surg 2016 May 23;45(4):464-70. Epub 2016 Mar 23.

Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California-Davis, Davis, CA.

Objective: To describe the technique and clinical outcome of prophylactic percutaneous radiologic-assisted gastropexy (PRG) and radiologic-assisted incisional gastropexy (RIG) in client-owned dogs.

Study Design: Prospective, nonrandomized clinical trial.

Animals: Fourteen client-owned, large, and giant breed dogs. Read More

J Am Vet Med Assoc 2016 Mar;248(6):661-8

Objective: To determine the percentage of dogs surviving to hospital discharge and identify factors associated with death prior to hospital discharge among dogs undergoing surgery because of primary splenic torsion (PST).

Design: Retrospective case series.

Animals: 102 client-owned dogs. Read More