Acute gastric volvulus following rapid and incomplete chewing of vegetables: A case report

One of the rare but serious causes of acute abdomen is gastric volvulus. It is considered an emergent surgical condition when it takes place acutely due to the risk of gastric strangulation, gangrene, and perforation. In this study, we introduce a case of a previously healthy young adult patient who...

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Main Authors:	Arash Pour Mohammad, MD, Milad Gholizadeh Mesgarha, MD, Mahya Naderkhani, MD, Rasoul Sarmadi, MD, Elham Zarei, MD
Format:	article
Language:	EN
Published:	Elsevier 2022
Subjects:	Acute abdomen Gastric volvulus Mesenteroaxial Incomplete mastication Abdominal X_ray Medical physics. Medical radiology. Nuclear medicine R895-920
Online Access:	https://doaj.org/article/ff526eb003cd4f06b413ea87e8d4178d
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spelling	oai:doaj.org-article:ff526eb003cd4f06b413ea87e8d4178d2021-11-30T04:15:04ZAcute gastric volvulus following rapid and incomplete chewing of vegetables: A case report1930-043310.1016/j.radcr.2021.10.003https://doaj.org/article/ff526eb003cd4f06b413ea87e8d4178d2022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1930043321007214https://doaj.org/toc/1930-0433One of the rare but serious causes of acute abdomen is gastric volvulus. It is considered an emergent surgical condition when it takes place acutely due to the risk of gastric strangulation, gangrene, and perforation. In this study, we introduce a case of a previously healthy young adult patient who presented with sudden severe epigastric and left upper quadrant abdominal pain along with nausea and retching following insufficient mastication and rapid swallowing of large amounts of vegetables. Radiological studies with chest and abdominal X-rays were in favor of acute gastric outlet obstruction and finally, laparotomy confirmed the diagnosis of acute, primary mesenteroaxial gastric volvulus. We postulated a probable justifying mechanism of the presence of a flaccid gastrocolic ligament (found through the laparotomy) besides rapid entrance of great pieces of vegetables into the stomach precipitated instant gastric rotation.Arash Pour Mohammad, MDMilad Gholizadeh Mesgarha, MDMahya Naderkhani, MDRasoul Sarmadi, MDElham Zarei, MDElsevierarticleAcute abdomenGastric volvulusMesenteroaxialIncomplete masticationAbdominal X_rayMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 1, Pp 60-63 (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Acute abdomen Gastric volvulus Mesenteroaxial Incomplete mastication Abdominal X_ray Medical physics. Medical radiology. Nuclear medicine R895-920
spellingShingle	Acute abdomen Gastric volvulus Mesenteroaxial Incomplete mastication Abdominal X_ray Medical physics. Medical radiology. Nuclear medicine R895-920 Arash Pour Mohammad, MD Milad Gholizadeh Mesgarha, MD Mahya Naderkhani, MD Rasoul Sarmadi, MD Elham Zarei, MD Acute gastric volvulus following rapid and incomplete chewing of vegetables: A case report
description	One of the rare but serious causes of acute abdomen is gastric volvulus. It is considered an emergent surgical condition when it takes place acutely due to the risk of gastric strangulation, gangrene, and perforation. In this study, we introduce a case of a previously healthy young adult patient who presented with sudden severe epigastric and left upper quadrant abdominal pain along with nausea and retching following insufficient mastication and rapid swallowing of large amounts of vegetables. Radiological studies with chest and abdominal X-rays were in favor of acute gastric outlet obstruction and finally, laparotomy confirmed the diagnosis of acute, primary mesenteroaxial gastric volvulus. We postulated a probable justifying mechanism of the presence of a flaccid gastrocolic ligament (found through the laparotomy) besides rapid entrance of great pieces of vegetables into the stomach precipitated instant gastric rotation.
format	article
author	Arash Pour Mohammad, MD Milad Gholizadeh Mesgarha, MD Mahya Naderkhani, MD Rasoul Sarmadi, MD Elham Zarei, MD
author_facet	Arash Pour Mohammad, MD Milad Gholizadeh Mesgarha, MD Mahya Naderkhani, MD Rasoul Sarmadi, MD Elham Zarei, MD
author_sort	Arash Pour Mohammad, MD
title	Acute gastric volvulus following rapid and incomplete chewing of vegetables: A case report
title_short	Acute gastric volvulus following rapid and incomplete chewing of vegetables: A case report
title_full	Acute gastric volvulus following rapid and incomplete chewing of vegetables: A case report
title_fullStr	Acute gastric volvulus following rapid and incomplete chewing of vegetables: A case report
title_full_unstemmed	Acute gastric volvulus following rapid and incomplete chewing of vegetables: A case report
title_sort	acute gastric volvulus following rapid and incomplete chewing of vegetables: a case report
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/ff526eb003cd4f06b413ea87e8d4178d
work_keys_str_mv	AT arashpourmohammadmd acutegastricvolvulusfollowingrapidandincompletechewingofvegetablesacasereport AT miladgholizadehmesgarhamd acutegastricvolvulusfollowingrapidandincompletechewingofvegetablesacasereport AT mahyanaderkhanimd acutegastricvolvulusfollowingrapidandincompletechewingofvegetablesacasereport AT rasoulsarmadimd acutegastricvolvulusfollowingrapidandincompletechewingofvegetablesacasereport AT elhamzareimd acutegastricvolvulusfollowingrapidandincompletechewingofvegetablesacasereport
_version_	1718406842152910848

Acute gastric volvulus following rapid and incomplete chewing of vegetables: A case report

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