Article Text

Download PDFPDF
Gastric volvulus
  1. Bang Chau,
  2. Susan Dufel
  1. University of Connecticut Health Center, Emergency Medicine Residency, Hartford, Connecticut, USA
  1. Correspondence to:
 Dr B Chau
 Hartford Hospital, UCONN Integrated Residency in Emergency Medicine, 85 Seymour St, Hartford, CT 06102, USA.


Gastric volvulus is a rare disease with an unknown incidence. Unless it stays in the back of the diagnostician’s mind, diagnosis of gastric volvulus, which can have significant morbidity and mortality associated with it, can be easily missed. Unstable vital signs and distressed appearance are not always present, as in textbook cases. The presence of a hiatal hernia with persistent vomiting despite initial antiemetic treatment should trigger one to think of gastric volvulus, despite the patient appearing very stable. With the advent of CT and laparoscopic surgery, the gold standards for diagnosing and treating this disease are ever evolving.

  • NGT, nasogastric tube

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Competing interests: None declared.