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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2022
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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) |
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Acute abdomen Gastric volvulus Mesenteroaxial Incomplete mastication Abdominal X_ray Medical physics. Medical radiology. Nuclear medicine R895-920 |
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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 |
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1718406842152910848 |