Category: Endoscopy Video Forum
Samuel Y. Jo
Robert Wood Johnson Medical School, Rutgers University
New Brunswick, NJ
We present a case of acute organoaxial gastric volvulus with endoscopic visualization. It is an often overlooked diagnosis, due to its rarity and vague constellation of symptoms. However, misdiagnosis can be fatal as high mortalities rates of 30-50% have been reported in acute cases. Hence it should be recognized in cases of gastric outlet obstruction. Early endoscopic evaluation is valuable as having both diagnostic and therapeutic utilities, and should be considered in the absence of peritoneal signs. It allows for the ability to decompress the stomach with detorsion of the volvulus (as with our patient), and/or guide further management, including emergent surgical intervention if mucosal ischemia is visualized.
Figure 1: CT sagittal view of acute gastric volvulus
Figure 2: Endoscopic view of acute gastric volvulus
Figure 3: Retroflexed endoscopic view of hiatal hernia
Samuel Jo indicated no relevant financial relationships.
Evan Orosz indicated no relevant financial relationships.
Anish Patel indicated no relevant financial relationships.