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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Autores principales: Arash Pour Mohammad, MD, Milad Gholizadeh Mesgarha, MD, Mahya Naderkhani, MD, Rasoul Sarmadi, MD, Elham Zarei, MD
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Lenguaje:EN
Publicado: Elsevier 2022
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Acceso en línea: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
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