Mesentero-axial gastric volvulus

Discussion:

This patient presented with the classic Borchardt triad consisting of :

1) inability to pass a nasogastric tube

2) severe epigastric pain

3) retching without vomiting

The diagnosis of mesentero-axial gastric volvulus was confirmed per-operatively, although it can be hard to distinguish from an organo-axial volvulus. 

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