PMC10184223_01
Computed tomography scan of the abdomen (axial view) performed on this admission (on the left (A)) versus 12 years prior (on the right (B)). The arrow points to the intrathoracic gastric volvulus.
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PMC10184223_01_10.1177_23247096231173400-fig1.jpg
fig1-23247096231173400
Computed tomography (CT) scan of the abdomen with contrast showed the stomach to be largely contained within the right hemithorax and rotated along its long axis compatible with an organo-axial volvulus, yet was nondilated nor obstructed, with contrast visualized throughout nondilated loops of small bowel which seem to be chronic in etiology as there were intrathoracic bowel loops on abdominal imaging 6 months prior (Figure 1). Review of previous images noted the presence of the intrathoracic stomach on a CT scan done 12 years prior (Figure 1).