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Primary gastric volvulus: a report of two cases
Marta R P Costa1, Ana S B Matos1, João R Almeida1
1Department of Surgery B, Coimbra Hospital and University Center, Praceta Prof. Mota Pinto, 3000-075 Coimbra, Portugal.
Journal of Surgical Case Reports
|August 29, 2018
Summary
Primary gastric volvulus, a rare cause of stomach obstruction, often presents with vague symptoms and normal imaging. Surgical treatment is effective for both acute and chronic cases, leading to good patient outcomes.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Medical Imaging
Background:
- Gastric volvulus is an uncommon cause of gastric outlet obstruction.
- Primary gastric volvulus occurs without an identifiable underlying condition.
- Diagnosis can be delayed, especially in chronic presentations with intermittent symptoms.
Observation:
- This report details two cases of primary gastric volvulus presenting with chronic or subacute symptoms.
- Imaging studies were normal during the asymptomatic periods for both patients.
- The lack of specific symptoms and signs contributed to diagnostic challenges.
Findings:
- Both patients underwent surgical treatment for primary gastric volvulus.
- Surgical intervention resulted in an uneventful recovery for both individuals.
- Prompt diagnosis is crucial for effective management of gastric volvulus.
Implications:
- Surgical management is a viable and effective treatment for primary gastric volvulus.
- Increased awareness of atypical presentations is needed to improve diagnostic timeliness.
- Further research into the pathophysiology and diagnostic modalities for chronic gastric volvulus is warranted.
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