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Updated: Apr 27, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Difficulties in diagnosing an intermittent mesenteroaxial gastric volvulus
David J Kang1, Matthew D'Alessio2, Andrew S Pan3
1NOVA Southeastern University College of Osteopathic Medicine, Davie, FL, USA kangdavi@gmail.com.
Abstract:
Mesenteroaxial volvulus is a form of gastric volvulus that rotates around the short axis of the stomach. Mesenteroaxial volvulus typically presents secondary to an anatomical defect with symptoms that include epigastric pain, retching, dysphagia and early satiety. Our patient presented with episodic abdominal pain, nausea and vomiting for 2 years. Previous imaging was unremarkable but an esophagogastroduodenoscopy done when the patient most recently presented with abdominal pain revealed a mesenteroaxial volvulus. He underwent a laparoscopic gastrostomy-tube gastropexy and has not had any recurrence of his symptoms to date. This case illustrates the difficulties in diagnosing an intermittent volvulus as untimely imaging of a temporarily unfolded volvulus can delay diagnosis and treatment.
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