Stomach Volvulus, not a common diagnosis in digestive emergency: acute or chronic evolution does it make difference?

Abstract

Stomach volvulus is rare pathology whose etiologies are dominated by hiatal or diaphragmatic hernia, its diagnosis is not a common in digestive emergency; Brochart described a triad: severe epigastric pain, retching without vomiting, inability to pass a nasogastric tube; abdominal CT make diagnosis in the majority of cases. Surgery is the major treatment in emergency context by stomach devolvulation and gastropexy; hiatal or diaphragmatic hernia must be treated in the same operation. Medical and endoscopic treatments are reserved for patients with high operative risk and chronic evolution.

Keywords

• volvulus
• gatstric
• emergency
• surgery
• acute
• chronic