Acute Gastric Volvulus: an Uncommon and Life-Threatening Disease

  • Clément Julien
  • Ugo Scemama
  • Laura Beyer-BerjotEmail author
GI Image


An 87-year-old man presented with a 3-day history of epigastric pain associated with anorexia, nausea, and vomiting. He had presented with unexplored mild dysphagia for several months, along with a maintained general condition. He had a medical history of asthma and atrial fibrillation, treated by acetylsalicylic acid and amiodarone. In the emergency room, he had no fever, and clinical examination revealed an abdominal distension with mild epigastric tenderness. Blood tests (i.e., complete blood count, serum electrolytes, C-reactive protein) were normal. The abdominal computed tomography (CT) showed a mesenteroaxial volvulus of the stomach (Fig.  1), revealed by a dilated stomach associated with a hernia of the pyloric antrum through the esophagus hiatus, mimicking a hiatal hernia. An oblique sagittal reconstruction showed a double beak sign, which corresponded to a crossing of the pyloric antrum and of the body of the stomach. There were no signs of gastric ischemia and no...



Clément Julien and Laura Beyer-Berjot drafted the manuscript. Ugo Scemama critically revised the manuscript.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.


  1. 1.
    Teague WJ., Ackroyd R., Watson DI., Devitt PG. Changing patterns in the management of gastric volvulus over 14 years: Management of gastric volvulus. British Journal of Surgery. 2000;87(3):358–61. Scholar
  2. 2.
    Wasselle JA., Norman J. Acute gastric volvulus: pathogenesis, diagnosis, and treatment. Am J Gastroenterol. 1993;88(10):1780–4.Google Scholar
  3. 3.
    Rashid F., Thangarajah T., Mulvey D., Larvin M., Iftikhar SY. A review article on gastric volvulus: A challenge to diagnosis and management. International Journal of Surgery. 2010;8(1):18–24. Scholar

Copyright information

© The Society for Surgery of the Alimentary Tract 2019

Authors and Affiliations

  1. 1.Department of Gastrointestinal SurgeryHôpital Nord, Assistance Publique - Hôpitaux de Marseille, Aix-Marseille UnivMarseilleFrance
  2. 2.Department of General SurgeryHôpital Sainte-Anne, French Military Health ServiceToulonFrance
  3. 3.Department of RadiologyHôpital Nord, Assistance Publique - Hôpitaux de Marseille, Aix-Marseille UnivMarseilleFrance

Personalised recommendations