Pacheco-Domínguez FL, Inocencio-Ocampo AE, Tejedor-Astudillo CA, Ordoñez-Crespo JF, Carrión JF, Asmal-Iturralde TA

Language: Spanish
References: 3
Page: 118-121
PDF size: 1366.02 Kb.

ABSTRACT

Gastric volvulus is a rare but potentially life-threatening condition due to its rapid progression to ischemia, necrosis, and perforation. We present the case of a 45-year-old woman with no significant medical history who arrived with sudden, severe epigastric and left upper quadrant pain, accompanied by abundant vomiting and complete oral intolerance. Computed tomography revealed marked gastric distension, an hourglass configuration, and a clear transition point, findings consistent with organoaxial gastric volvulus. Given the high risk of vascular compromise, an urgent laparoscopic exploration was performed. Devolvulation was achieved using an orogastric tube, and intraoperative findings showed gastric hyperlaxity. A gastropexy to the diaphragm and the left parietocolic ligament was completed. The patient had a favorable postoperative evolution, with early oral tolerance and prompt discharge. This case highlights the importance of considering gastric volvulus in patients presenting with severe epigastric pain and persistent vomiting, as well as the key role of CT imaging and timely surgical intervention to prevent major complications.

REFERENCES

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