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Dig Dis Sci 2021 Jun 7. Epub 2021 Jun 7.

Department of Paediatric Surgery, Meyer Children's Hospital, University of Florence, Viale Pieraccini 24, 50139, Florence, Italy.

Introduction: In the setting of intermittent abdominal pain accompanied by gastro-intestinal obstruction, gastric volvulus should be suspected.

Areas Covered: A 10-year-old girl was admitted to our hospital for intermitted abdominal pain associated with recurrent non-bilious vomiting and acute weight loss. The radiological images performed at the district general hospital were reported as negative. Read More

Radiol Case Rep 2021 Jun 14;16(6):1469-1472. Epub 2021 Apr 14.

Radiology Department, Hospital Universitario Marqués de Valdecilla, Avda Valdecilla sn 39008, Santander, Spain.

We present a case of cecal bascule in a 60-year-old woman with abdominal pain and vomiting. Imaging tests revealed a cecal bascule causing mechanic obstruction of the stomach. Besides a small bowel dilatation was not seen, the distended cecum was extrinsically obstructing the antrum and therefore, the gastric outlet. Read More

Int J Surg Case Rep 2021 May 7;82:105873. Epub 2021 Apr 7.

Esophageal Institute, Allegheny Health Network, Pittsburgh, PA, United States. Electronic address:

Introduction: Acute gastric volvulus is a surgical emergency with a mortality as high as 15-20%. The rarity of gastric volvulus requires high index of clinical suspicion especially in the patients with altered anatomy, to allow immediate surgical intervention and reduce the morbidity and mortality.

Presentation Of Case: We present an unusual case of gastric remnant volvulus several months following Roux-en-Y esophagojejunostomy performed in an obese patient for severe, recurrent gastroesophageal reflux disease (GERD) and failed prior fundoplication. Read More

Pediatr Radiol 2021 Feb 20. Epub 2021 Feb 20.

Department of Radiology and Fetal Medicine Institute, Children's National Medical Center, 111 Michigan Ave., Washington, DC, 20010, USA.

Background: Malrotation of the bowel refers to any variation in the rotation and fixation of the gastrointestinal tract during the first trimester and is most commonly detected postnatally. Nonrotation of the bowel and incomplete rotation of the bowel are subtypes of malrotation.

Objective: To determine if the nonrotation subtype of malrotation of the bowel can be detected on prenatal magnetic resonance imaging (MRI). Read More

BMC Pediatr 2021 02 19;21(1):91. Epub 2021 Feb 19.

Department of Radiology and Research Institute of Radiological Science, Severance Children's Hospital, Yonsei University College of Medicine, 50-1Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea.

Background: In neonatal intensive care unit (NICU) patients with intubation status, fluoroscopic evaluation for the bowel is limited. This study was to evaluate the utility of bedside upper gastrointestinal (UGI) series with delayed radiographs (DR) for assessing duodenojejunal junction (DJJ) and small bowel passage in NICU patients with nonspecific bowel ultrasonography and contrast enema findings.

Methods: We reviewed clinical and imaging data for bedside UGI with DR of NICU patients from 2014 to 2019. Read More

BMJ Case Rep 2021 Jan 28;14(1). Epub 2021 Jan 28.

Department of General Surgery, University of Michigan, Ann Arbor, Michigan, USA.

This case highlights a 37-year-old woman with primary sclerosing cholangitis awaiting liver transplantation who presented with torsion of a wandering spleen with associated gastric and pancreatic volvulus. The patient underwent emergent exploratory laparotomy with splenectomy. She had an uncomplicated postoperative course and recovered well. Read More

JSLS 2020 Oct-Dec;24(4)

University Clinical Hospital, School of Medical Sciences, Digestive Diseases Surgical Unit and Gastrocentro, State University of Campinas, Sao Paulo, Brazil.

Background: Gastric volvulus is a rare condition, characterized by abnormal rotation of the stomach, causing obstruction with risk of ischemia, necrosis, and perforation. It is associated with high morbidity and mortality rates and, as it is life threatening, early diagnosis and treatment are crucial.

Methods: Retrospective study of medical records of intrathoracic gastric volvulus patients treated by video-laparoscopy from January 2000 to December 2018, in a University Hospital. Read More

Clin Imaging 2021 Apr 6;72:97-113. Epub 2020 Nov 6.

Department of Imaging Sciences, University of Rochester, Imaging Sciences, 601 Elmwood Avenue, Rochester 14642, NY, USA. Electronic address:

The stomach is one of the most frequently imaged organs in the body with dedicated and incidental inclusion in chest imaging modalities. Gastric emergencies often present clinically with non-specific abdominal, nausea, and vomiting. As such, imaging plays a critical role in early identification and treatment of a myriad of gastric emergencies. Read More

J Small Anim Pract 2020 Dec 24;61(12):766-771. Epub 2020 Sep 24.

North Downs Specialist Referrals, Horley, Surrey, UK.

Objectives: To describe the computed tomographic (CT) findings of gastric malposition in a group of dogs with suspected chronic gastric instability.

Materials And Methods: A multicentre retrospective study of CT studies of dogs with abnormal gastric position in the absence of clinical signs referable to gastric dilatation and volvulus.

Results: Gastric malposition was identified in six dogs as either an incidental finding or in dogs with histories of chronic and intermittent gastroenteropathy. Read More

Cureus 2020 Aug 22;12(8):e9946. Epub 2020 Aug 22.

Emergency Medicine, Hospital Corporation of America Healthcare West Florida Graduate Medical Education Consortium/University of South Florida Morsani College of Medicine, Brandon Regional Hospital, Brandon, USA.

Gastric volvulus (GV) is a seldomly encountered life-threatening condition that necessitates rapid diagnosis in the emergency department (ED). The diagnosis of GV is traditionally established with cross-sectional imaging and/or endoscopy with surgical confirmation. The potential role of point-of-care ultrasound (POCUS) as a bedside tool to support the early identification of GV by emergency physicians (EPs) has not been thoroughly investigated. Read More

Cureus 2020 Jul 25;12(7):e9387. Epub 2020 Jul 25.

Gastroenterology and Hepatology, Staten Island University Hospital, Staten Island, USA.

Gastric volvulus is defined as twisting of the stomach along its long or short axis, a rare clinical entity that can lead to gastric outlet obstruction. Symptoms are typically acute and include retching, abdominal pain, and vomiting. Chronic intermittent manifestations of this entity present a diagnostic challenge as conclusive imaging findings are only apparent during symptomatic periods. Read More

J Vet Emerg Crit Care (San Antonio) 2020 Sep 25;30(5):581-586. Epub 2020 Jul 25.

Department of Surgery, Veterinary Specialty Hospital of San Diego, San Diego, California.

Objective: To describe 4 Great Danes with colonic torsions and describe the risk of torsion recurrence in this breed, which has not previously been reported. This study also describes pneumocolon as a rapid and noninvasive diagnostic for confirmation of colonic torsion.

Series Summary: Four Great Danes were presented with nonspecific gastrointestinal (GI) clinical signs. Read More

Int J Surg Case Rep 2020 25;72:556-559. Epub 2020 Jun 25.

Faculty of Health Sciences, Ben-Gurion University of the Negev, Israel.

Foramen of Winslow hernias form 8% of all internal hernias. They present with non-specific findings and are often diagnosed late in disease progression. Delayed diagnosis of the hernia is associated with an estimated mortality of 50%. Read More

Am J Med 2021 01 3;134(1):e44-e45. Epub 2020 Jul 3.

Department of Internal Medicine, Saint Louis University School of Medicine, St. Louis, MO. Electronic address:

Int J Surg Case Rep 2020 20;73:5-8. Epub 2020 Jun 20.

Department of Surgery, Redcliffe Hospital, Anzac Avenue, Redcliffe, QLD, Australia.

Introduction: Bisphosphonates are commonly used in the treatment of metabolic bone disease. However, they are associated with gastrointestinal side effects including acid reflux, mucosal erosion, and oesophageal stricture. We present a rare case of alendronate causing perforated gastric volvulus in a patient with giant hiatus hernia. Read More

J Med Imaging Radiat Oncol 2020 Dec 22;64(6):817-820. Epub 2020 May 22.

Princess Alexandra Hospital, Brisbane, Queensland, Australia.

Acute gastric volvulus is a rare surgical emergency which can lead to severe complications such as gastric ischaemia and perforation. Gastric volvulus is classified by the axis upon which the stomach rotates into organo-axial and mesentero-axial subtypes, with the former more common in adults. We present an uncommon case of recurrent adult mesentero-axial gastric volvulus and describe the associated radiological findings. Read More

Int J Surg Case Rep 2020 11;70:123-125. Epub 2020 May 11.

Department of Pediatric Surgery, Faculty of Medicine, University of Alexandria, Egypt. Electronic address:

Introduction: Acute intrathoracic gastric volvulus occurs when the stomach undergoes organoaxial rotation in the chest due presence of a diaphragmatic defect. Gastric volvulus associated with congenital diaphragmatic hernia is extremely rare and can be explained as 2 of the 4 ligaments supporting the stomach (gastrophrenic and gastrosplenic) which are connected to the left diaphragm may become elongated or absent. According to the current literature, only 27 pediatric cases have been reported so far. Read More

Ann Emerg Med 2020 05;75(5):577-626

Department of Pediatric Surgery, Beaumont Health, Royal Oak, MI; Oakland University William Beaumont School of Medicine, Royal Oak, MI.

Cir Pediatr 2020 Jan 20;33(1):47-50. Epub 2020 Jan 20.

Hospital Universitario Virgen del Rocío. Sevilla (Spain).

Introduction: Congenital hiatal hernia is a rare pathology, presenting at 28 months of age on average. Paraesophageal/mixed hernias cause recurrent respiratory infections, vomiting, anemia, and growth failure.

Clinical Case: Four-month-old infant, with irritability since birth and partial feeding intolerance in the last 24 hours. Read More

Emerg Med J 2020 Feb;37(2):105-111

Urology, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.

Pediatr Radiol 2020 05 23;50(5):673-683. Epub 2020 Jan 23.

Department of Medical Imaging, University of Toronto, Toronto, ON, Canada.

Background: The clinical and plain radiographic differentiation of congenital intrinsic duodenal anomalies (atresia, web, stenosis) from intestinal malrotation is not always clear. Although sonography has been documented as an important diagnostic tool in the differentiation of these two entities, its role is still not widely appreciated and it is still not universally utilized in this clinical setting.

Objective: To assess the usefulness of sonographic features of the duodenal and gastric wall in the differentiation of congenital intrinsic duodenal anomalies from midgut malrotation in a large series of neonates and to compare them with other features on abdominal radiographs, ultrasound and upper gastrointestinal series. Read More

Rev Esp Enferm Dig 2019 12;111(12):976

Cirugía General y del Aparato Digestivo, Hospital General Universitario Reina Sofía de Murcia..

Laparoscopic sleeve gastrectomy is an increasingly widespread bariatric surgical technique thanks to its good outcomes and apparent simplicity. However, complications may arise, including hemorrhage, gastric fistula, and stenosis, which can be either organic or functional. Functional stenosis is caused by gastric tube twisting. Read More

J Emerg Med 2019 Dec 15;57(6):e185-e186. Epub 2019 Nov 15.

Division of Gastroenterology, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.

Clin Med (Lond) 2019 Nov;19(6):528-529

South West Acute Hospital, Enniskillen, UK and School of Medicine, Dentistry, and Biomedical Sciences, Belfast, UK

QRS electrical alternans is characterised by alternating amplitude of the QRS complexes, and is well-documented in cardiac conditions such as pericardial effusion. We describe a case of QRS alternans in a patient with gastric volvulus. Read More

J Am Anim Hosp Assoc 2020 Jan/Feb;56(1):42-47. Epub 2019 Nov 12.

From ACCESS Specialty Animal Hospitals, Culver City, California.

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Am J Case Rep 2019 Oct 18;20:1530-1535. Epub 2019 Oct 18.

Department of Surgery, Iwate Medical University, Morioka, Iwate, Japan.

BACKGROUND Upside-down stomach (UDS) is the rarest type of hiatal hernia (HH), with organoaxial gastric volvulus. A large HH sometimes causes cardiopulmonary impairments owing to multiple factors. CASE REPORT We herein report a case of a large HH with UDS that had induced weight loss and severe cardiopulmonary dysfunction in a 74-year-old female patient who presented with shortness of breath, chest pain, severe anorexia, and weight loss of 5 kg over the 3 previous months. Read More

Prenat Diagn 2019 12 25;39(13):1204-1212. Epub 2019 Oct 25.

Department of Obstetrics and Gynecology, Division of Obstetrics and Prenatal Medicine, Erasmus MC-Sophia Children's Hospital, Erasmus University Rotterdam, Rotterdam, The Netherlands.

Objective: To determine whether complex gastroschisis (ie, intestinal atresia, perforation, necrosis, or volvulus) can prenatally be distinguished from simple gastroschisis by fetal stomach volume and stomach-bladder distance, using three-dimensional (3D) ultrasound.

Methods: This multicenter prospective cohort study was conducted in the Netherlands between 2010 and 2015. Of seven university medical centers, we included the four centers that performed longitudinal 3D ultrasound measurements at a regular basis. Read More

Ann R Coll Surg Engl 2020 Feb 18;102(2):e39-e41. Epub 2019 Sep 18.

General Surgery Directorate, Aintree University Hospital NHS Foundation Trust, Liverpool, UK.

Approximately 5% of intestinal obstruction cases are caused by internal herniation. Caecal herniation through the foramen of Winslow is considered a rare event. The management of caecal herniation remains challenging due to the lack of literature highlighting this pathology. Read More

Surg Endosc 2020 04 12;34(4):1785-1794. Epub 2019 Aug 12.

Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, 1025 Morehead Medical Drive, Suite 300, Charlotte, NC, 28204, USA.

Background: Despite advances in diagnostic imaging capabilities, little information exists concerning the impact of physical dimensions of a paraesophageal hernia (PEH) on intraoperative decision making. The authors hypothesized that computerized volumetric analysis and multidimensional visualization to measure hiatal defect area (HDA) and intrathoracic hernia sac volume (HSV) would correlate to operative findings and required surgical techniques performed.

Methods: Using volumetric analysis software (Aquarius iNtuition, TeraRecon, Inc), HDA and HSV were measured in PEH patients with preoperative computerized tomography (CT) scans, and used to predict the likelihood of intraoperative variables. Read More

BMJ Case Rep 2019 Jul 27;12(7). Epub 2019 Jul 27.

Department of Surgery, University of Chicago Hospital, Chicago, Illinois, USA.