“A Large Hiatal Hernia”: Atypical Presentation of Gastric Volvulus

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" “A Large Hiatal Hernia”: Atypical Presentation of Gastric Volvulus "
Kiyani, Amirali; Kholsa, Manraj; Anufreichik, Veronika; Chuang, Keng-Yu

Document Type	:	AL
Record Number	:	927834
Doc. No	:	LA8148t1k5
Language of Document	:	English
Main Entry	:	Kiyani, Amirali; Kholsa, Manraj; Anufreichik, Veronika; Chuang, Keng-Yu
Title & Author	:	“A Large Hiatal Hernia”: Atypical Presentation of Gastric Volvulus [Article]\ Kiyani, Amirali; Kholsa, Manraj; Anufreichik, Veronika; Chuang, Keng-Yu
Title of Periodical	:	Clinical Practice and Cases in Emergency Medicine
Volume/ Issue Number	:	1/3
Date	:	2017
Abstract	:	Gastric volvulus is a rare condition defined as an abnormal rotation of the stomach by more than180 degrees. Gastric volvulus could present atypically with simply nausea and vomiting. A highindex of suspicion is required for prompt diagnosis and treatment, especially when a patientpresents with subacute intermittent gastric volvulus. Here, we present the case of a 56-year-oldfemale with lung cancer status post left lower lobectomy undergoing chemotherapy who presentedwith intermittent nausea and upper abdominal pain for a few weeks. Barium study and computedtomography revealed acute mesenteroaxial gastric volvulus and she was treated with urgent surgicalintervention.