PMC5709345_01
Coronal view showing massively dilated stomach with torsion of the stomach at the level of the gastric body.
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The patient had a CT of the abdomen and pelvis which revealed a diffusely dilated stomach with herniation of the gastric cardia and twisting of the gastric body concerning of volvulus. (Fig 1, Fig. 2)
A massive dilated stomach noted from xiphoid (X) to supra-pubic region (P).
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Intra-operative findings revealed an extremely dilated stomach occupying the entire surgical field, all the way from the xiphoid region down towards the pubis. (Fig. 3, Fig. 4)
Post-operative day 3 UGI series revealing adequate transit of contrast (black asterisk demonstrating contrast in small bowel) with no signs of gastric outlet obstruction, adequate position of stomach and gastroesophageal junction post-fundoplication (yellow arrow). (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)
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On POD 3 patient had an UGI series which revealed adequate transit time of contrast into the bowels, and adequate location of fundoplication (Fig. 5).