Gastric volvulus: mesenteroaxial

Case contributed by Dr Amro Omar

Presentation

Acute abdominal pain

Patient Data

Age: 45
Gender: Male
Modality: Barium

Mesenteroaxial volvulus, the distended stomach appears spherical on supine images. Two air-fluid levels are visible on the upright film: 1 in the fundus, which is inferior, and 1 in the antrum, which is superior. In addition, the upright image often demonstrates a beak where the esophagogastric junction is seen on normal images. If a nasogastric tube is passed, the esophagogastric junction is seen inferior to its normal location. If barium moves past the esophagogastric junction, the upside-down configuration of the stomach and the degree of obstruction can be documented.

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Case Information

rID: 19805
Case created: 13th Oct 2012
Last edited: 1st Oct 2015
Inclusion in quiz mode: Included

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