eMedicine Specialties > Radiology > Gastrointestinal

Gastric Volvulus: Follow-up

Author: Jeremy Green, MD, Attending Physician, Department of Radiology, New York Methodist Hospital
Coauthor(s): Marjorie Stein, MD, Clinical Assistant Professor of Radiology, Albert Einstein College of Medicine; Consulting Staff, Department of Radiology, Montefiore Medical Center
Contributor Information and Disclosures

Updated: Dec 22, 2008

Intervention

Medicolegal Pitfalls

  • The diagnosis of gastric volvulus should be considered in patients presenting with abdominal or chest pain or with other vague GI complaints.
  • Erroneous diagnoses of myocardial ischemia, cholelithiasis, and pancreatitis are common.
  • Acute gastric volvulus can be lethal, and the diagnosis must not be overlooked.
 


More on Gastric Volvulus

Overview: Gastric Volvulus
Imaging: Gastric Volvulus
Follow-up: Gastric Volvulus
Multimedia: Gastric Volvulus
References
Further Reading
[ CLOSE WINDOW ]

References

  1. Chau B, Dufel S. Gastric volvulus. Emerg Med J. Jun 2007;24(6):446-7. [Medline].

  2. Cribbs RK, Gow KW, Wulkan ML. Gastric volvulus in infants and children. Pediatrics. Sep 2008;122(3):e752-62. [Medline].

  3. Chattopadhyay A, Vepakomma D, Prakash B, et al. Is gastropexy required for all cases of gastric volvulus in children?. Int Surg. Jul-Aug 2005;90(3):151-4. [Medline].

  4. Gourgiotis S, Vougas V, Germanos S, et al. Acute gastric volvulus: diagnosis and management over 10 years. Dig Surg. 2006;23(3):169-72. [Medline].

  5. Oto A, Ernst RD, Ghulmiyyah LM, Nishino TK, Hughes D, Chaljub G, et al. MR imaging in the triage of pregnant patients with acute abdominal and pelvic pain. Abdom Imaging. Mar 11 2008;[Medline].

  6. Coulier B, Ramboux A, Maldague P. Intraabdominal counter clockwise gastric volvulus incarcerated through a defect of the lesser omentum: CT diagnosis. JBR-BTR. Nov-Dec 2007;90(6):519-23. [Medline].

  7. Coulier B, Broze B. Gastric volvulus through a Morgagni hernia: multidetector computed tomography diagnosis. Emerg Radiol. May 2008;15(3):197-201. [Medline].

  8. Braun U, Feller B, Hässig M, Nuss K. Ultrasonographic examination of the omasum, liver, and small and large intestines in cows with right displacement of the abomasum and abomasal volvulus. Am J Vet Res. Jun 2008;69(6):777-84. [Medline].

  9. Andiran F, Tanyel FC, Balkanci F, et al. Acute abdomen due to gastric volvulus: diagnostic value of a single plain radiograph. Pediatr Radiol. Nov 1995;25 Suppl 1:S240. [Medline].

  10. Brandt L. Gastrointestinal Disorders of the Elderly. New York, NY: Raven Press; 1984.

  11. Burke G, Mercado-Deane MG, Burton EM. Organoaxial gastric volvulus detected by Meckel scan. Clin Nucl Med. Jul 1994;19(7):598-9. [Medline].

  12. Campbell JB, Rappaport LN, Skerker LB. Acute mesentero-axial volvulus of the stomach. Radiology. Apr 1972;103(1):153-6. [Medline].

  13. Chiechi MV, Hamrick-Turner J, Abbitt PL. Gastric herniation and volvulus: CT and MR appearance. Gastrointest Radiol. Spring 1992;17(2):99-101. [Medline].

  14. Coulier B, Ramboux A. Acute obstructive gastric volvulus diagnosed by helical CT. JBR-BTR. 2002;85(1):43. [Medline].

  15. Fink DW. Gastric volvulus: the angiographic appearance. Am J Roentgenol Radium Ther Nucl Med. Jun 1972;115(2):268-70. [Medline].

  16. Godshall D, Mossallam U, Rosenbaum R. Gastric volvulus: case report and review of the literature. J Emerg Med. Sep-Oct 1999;17(5):837-40. [Medline].

  17. Gore RM, Levine MS, Laufer I. Textbook of Gastrointestinal Radiology. vol 1. Philadelphia, Pa: WB Saunders; 1994.

  18. Lim JH. Ultrasound examination of gastrointestinal tract diseases. J Korean Med Sci. Aug 2000;15(4):371-9. [Medline].

  19. Marshak R, Lindner A, Maklansky D. Radiology of the Stomach. Philadelphia, Pa: WB Saunders; 1983.

  20. Matsuzaki Y, Asai M, Okura T, et al. Ultrasonography of gastric volvulus: "peanut sign". Intern Med. Jan 2001;40(1):23-7. [Medline]. [Full Text].

  21. Menuck L. Plain film findings of gastric volvulus herniating into the chest. AJR Am J Roentgenol. Jun 1976;126(6):1169-74. [Medline].

  22. Meschan I. Roentgen Signs in Diagnostic Imaging. vol 1. Philadelphia, Pa: WB Saunders; 1984.

  23. Milne LW, Hunter JJ, Anshus JS, et al. Gastric volvulus: two cases and a review of the literature. J Emerg Med. 1994;12:299-306. [Medline].

  24. Schaefer DC, Nikoomenesh P, Moore C. Gastric volvulus: an old disease process with some new twists. Gastroenterologist. Mar 1997;5(1):41-5. [Medline].

  25. Sleisinger MH, Fortran JS. Gastrointestinal Disease: Pathophysiology, Diagnosis, and Management. Philadelphia, Pa: WB Saunders; 1973.

  26. Wasselle JA, Norman J. Acute gastric volvulus: pathogenesis, diagnosis, and treatment. Am J Gastroenterol. Oct 1993;88(10):1780-4. [Medline].

  27. Ziprkowski MN, Teele RL. Gastric volvulus in childhood. AJR Am J Roentgenol. Jun 1979;132(6):921-5. [Medline].

  28. Zollikofer CL, Jost R, Schoch E, et al. Gastrointestinal stenting. Eur Radiol. 2000;10(2):329-41. [Medline].

  29. Zucker RJ, Bradley YC, Toney MO, et al. Gastric volvulus detected with iodine-131 whole-body imaging. Clin Nucl Med. Apr 2000;25(4):303-5. [Medline].

[ CLOSE WINDOW ]

Keywords

gastric volvulus, gastric torsion, closed-loop obstruction, gastric strangulation, gastric rotation, subdiaphragmatic volvulus, primary volvulus, supradiaphragmatic volvulus, mesenteroaxial volvulus, secondary volvulus

[ CLOSE WINDOW ]

Contributor Information and Disclosures

Author

Jeremy Green, MD, Attending Physician, Department of Radiology, New York Methodist Hospital
Jeremy Green, MD is a member of the following medical societies: American College of Radiology
Disclosure: Nothing to disclose.

Coauthor(s)

Marjorie Stein, MD, Clinical Assistant Professor of Radiology, Albert Einstein College of Medicine; Consulting Staff, Department of Radiology, Montefiore Medical Center
Marjorie Stein, MD is a member of the following medical societies: American College of Radiology, American Institute of Ultrasound in Medicine, and Radiological Society of North America
Disclosure: Nothing to disclose.

Medical Editor

Neela Lamki, MD, Professor, Department of Radiology, Sultan Qaboos University, Oman; Adjunct Professor, Department of Radiology, Baylor College of Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Abraham H Dachman, MD, FACR, Professor, Department of Radiology, The University of Chicago School of Medicine; Director of CT, Department of Radiology, The University of Chicago Hospitals
Abraham H Dachman, MD, FACR is a member of the following medical societies: Radiological Society of North America
Disclosure: iCAD, Inc. Consulting fee Consulting; iCAD, Inc. Grant/research funds Other; GE Healtcare, Inc. Honoraria Speaking and teaching

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Radiologist, Virginia Mason Medical Center; Clinical Assistant Professor of Radiology, University of Washington School of Medicine
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.