Advertisement

Radiological features of acute gastric volvulus in adult patients

      Abstract

      Objective

      To evaluate the radiological features of acute gastric volvulus in adults and correlate these features with operative findings.

      Materials and Methods

      The clinical, radiological and operative findings of five adult patients (four males and one female with mean age of 50.4 years) who presented or referred to King Abdullah University hospital over 4 year’s period with symptoms of acute gastric volvulus were reviewed retrospectively. All patients underwent upper gastrointestinal barium study and two of them had computed tomographic (CT) scans preoperatively. The radiological features demonstrated on upper gastrointestinal barium exams and CT scans were analyzed and compared with operative findings.

      Results

      Radiological and operative findings revealed organo-axial gastric volvulus in all patients in our study. All of them had associated diaphragmatic defect or hiatal hernia. The upper gastrointestinal barium studies demonstrated the classic radiological features of organo-axial volvulus. CT done on two of our patients confirmed the diagnosis.

      Conclusion

      Upper gastrointestinal barium study is an accurate way to diagnose and characterize acute gastric volvulus in adult patients. CT scan can also be used to diagnose this clinical entity.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Carter R
        • Brewer LA
        • Hinshaw DB
        Acute gastric volvulus. A study of 25 cases.
        Am J Surg. 1980; 140: 99-106
        • Andiran F
        • Tanyel FC
        • Balkanci F
        • Hicsonmez A
        Acute abdomen due to gastric volvulus: diagnostic value of a single plain radiograph.
        Pediatr Radiol. 1995; 25: S240
        • Tanner NC
        Chronic and recurrent volvulus of the stomach with late results of “colonic displacement”.
        Am J Surg. 1968; 115: 505-515
        • Cribbs RK
        • Gow KW
        • Wulkan ML
        Gastric volvulus in infants and children.
        Pediatrics. 2008; 122: e752-e762
        • Dalgaard JB
        Volvulus of the stomach case report and survey.
        Acta Chir Scand. 1952; 103: 131-153
        • Kuenzler KA
        • Wolfson PJ
        • Murphy SG
        Gastric volvulus after laparoscopic Nissen fundoplication with gastrostomy.
        J Pediatr Surg. 2003; 38: 1241-1243
        • Oh A
        • Gulati G
        • Sherman ML
        • Golub R
        • Kutin N
        Bilateral eventration of the diaphragm with perforated gastric volvulus in an adolescent.
        J Pediatr Surg. 2000; 35: 1824-1826
        • Coulier B
        • Broze B
        Gastric volvulus through a Morgagni hernia: multidetector computed tomography diagnosis.
        Emerg Radiol. 2008; 15: 197-201
        • Ziprkowski MN
        • Teele RL
        Gastric volvulus in childhood.
        AJR Am J Roentgenol. 1979; 132: 921-925
        • Franco A
        • Vaughan KG
        • Vukcevic Z
        • Thomas S
        • Mazariegos GV
        Gastric volvulus as a complication of liver transplant.
        Pediatr Radiol. 2005; 35: 327-329
        • Milne LW
        • Hunter JJ
        • Anshus JS
        • Rosen P
        Gastric volvulus: two cases and a review of the literature.
        J Emerg Med. 1994; 12: 299-306
        • Oh SK
        • Han BK
        • Levin TL
        • Murphy R
        • Blitman NM
        • Ramos C
        Gastric volvulus in children: the twists and turns of an unusual entity.
        Pediatr Radiol. 2008; 38: 297-304
        • Coulier B
        • Ramboux A
        Acute obstructive gastric volvulus diagnosed by helical CT.
        JBR-BTR. 2002; 85: 43
        • Cherukupalli C
        • Khaneja S
        • Bankulla P
        • Schein M
        CT diagnosis of acute gastric volvulus.
        Dig Surg. 2003; 20: 497-499
        • Shivanand G
        • Seema S
        • Srivastava DN
        • Pande GK
        • Sahni P
        • Prasad R
        • et al.
        Gastric volvulus: acute and chronic presentation.
        Clin Imaging. 2003; 27: 265-268