PMC9772930_01
Contrast-enhanced CT image showing the mesentero-axial gastric volvulus.
10.1177_2050313X221144198-fig1.jpg
PMC9772930_01_10.1177_2050313X221144198-fig1.jpg
fig1-2050313X221144198
A contrast-enhanced computed tomography (CECT) of the abdomen revealed a grossly distended stomach with antropyloric junction superior and anterior to the gastroesophageal junction with a large hiatal hernia without any evidence of perforation or perigastric fluid collection which confirmed MAGV (Figures 1 and 2).
Gastric volvulus before reduction.. Arrow marks the antrum.
10.1177_2050313X221144198-fig2.jpg
PMC9772930_01_10.1177_2050313X221144198-fig2.jpg
fig2-2050313X221144198
A contrast-enhanced computed tomography (CECT) of the abdomen revealed a grossly distended stomach with antropyloric junction superior and anterior to the gastroesophageal junction with a large hiatal hernia without any evidence of perforation or perigastric fluid collection which confirmed MAGV (Figures 1 and 2).
Gastric volvulus after reduction (a) the antrum of the stomach and (b) the fundus of the stomach.
10.1177_2050313X221144198-fig3.jpg
PMC9772930_01_10.1177_2050313X221144198-fig3.jpg
fig3-2050313X221144198
After initial symptomatic management 72 h later, a laparotomy was performed, and GV was identified (Figure 3) where reduction of the stomach from the hernia and derotation of the stomach was performed (Figure 4).
The diaphragmatic hiatus.. Arrow pointing at the defect.
10.1177_2050313X221144198-fig4.jpg
PMC9772930_01_10.1177_2050313X221144198-fig4.jpg
fig4-2050313X221144198
After initial symptomatic management 72 h later, a laparotomy was performed, and GV was identified (Figure 3) where reduction of the stomach from the hernia and derotation of the stomach was performed (Figure 4). A 4 cm x 4 cm size defect was identified in the diaphragm (Figure 4).