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
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Article info
Publication history
Published online: March 11, 2010
Accepted:
September 9,
2009
Received:
August 8,
2009
Identification
Copyright
© 2010 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
