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Gastric Volvulus: A Multidisciplinary Approach and Conservative Treatment
Carina Rodrigues1, Isabel Taveira2, Ana Deus3
1Unidade de Cuidados Personalizados de Sines Family Medicine, Hospital Do Litoral Alentejano, Santiago do Cacém, PRT.
Cureus
|March 17, 2021
Summary
Gastric volvulus, a rare stomach rotation, can present with common symptoms like hematemesis. This case highlights successful conservative management for this uncommon condition.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Gastric volvulus is an uncommon condition involving abnormal stomach rotation, often presenting as an emergency or chronic issue.
- Diagnosis can be challenging, frequently occurring during surgery or autopsy due to its rarity.
Observation:
- An 82-year-old female with a history of hiatal hernia presented with hematemesis and epigastric pain.
- CT scan revealed an organoaxial stomach volvulus within the intrathoracic cavity.
Findings:
- Initial conservative treatment (gastric decompression, IV fluids, PPIs) led to clinical improvement.
- The patient opted for conservative management over surgery, reporting symptom improvement over several months.
Implications:
- This case demonstrates that rare conditions like gastric volvulus can manifest with typical symptoms.
- Multidisciplinary approaches and conservative management can be effective for certain rare gastrointestinal conditions.
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