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Published on: February 26, 2013
Acute Gastric Volvulus and Atrial Fibrillation with RVR: A Coincidence or Association
Omar Nadhem1, Omar Salh2, Faisal Khasawneh2
1Internal Medicine Department, Texas Tech University Health Sciences Center, 1400 S. Coulter, Amarillo, TX 79106, USA.
Acute gastric volvulus, a rare stomach rotation, can occur with rapid heart rhythms. This case highlights a successful surgical treatment for an elderly patient with both conditions.
Area of Science:
- Gastroenterology
- Cardiology
- Geriatric Medicine
Background:
- Gastric volvulus is a rare but critical condition involving stomach rotation exceeding 180 degrees.
- The co-occurrence of acute gastric volvulus and atrial fibrillation with rapid ventricular response is exceptionally uncommon.
Observation:
- An 86-year-old female presented with abdominal pain, distension, nausea, and dyspnea.
- Diagnostic workup confirmed acute gastric volvulus secondary to a diaphragmatic hernia.
- The patient was concurrently experiencing atrial fibrillation with rapid ventricular response.
Findings:
- Surgical intervention via laparotomy successfully reduced the gastric volvulus.
- Simultaneously, the diaphragmatic hernia was repaired.
- The patient demonstrated significant clinical improvement post-operatively.
Implications:
- This case underscores the importance of considering cardiac arrhythmias in patients with acute gastric volvulus.
- Prompt surgical management is crucial for favorable outcomes in such complex presentations.
- Highlights the successful treatment of a rare combination of gastric volvulus and atrial fibrillation.
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