Abstract
Volvulus of sigmoid colon and cecum is not uncommon in tropical Africa, but gastric volvulus is relatively rare, especially when compared with various causes of peptic ulcer syndrome seen at the University College Hospital in Ibadan, Nigeria.
A case of chronic intermittent type of gastric volvulus with superficial gastric ulcerations was recently seen and treated by vagotomy, pyloroplasty, and gastropexy.
Predisposing factors, various types, presentations, and management of gastric volvulus are discussed.
Since an acute attack of gastric volvulus, which is rare and possibly fatal if not adequately treated, can be confused with gastric outlet obstruction resulting from chronic duodenal ulcer, which is common, an index of suspicion is essential for the diagnosis of gastric volvulus.
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- ASCHERMAN S. W., BEDNARZ W. W., OLIX M. L. Gastric volvulus; special reference to hepatodiaphragmatic interposition of colon. AMA Arch Surg. 1958 Apr;76(4):621–629. [PubMed] [Google Scholar]
- Ajao O. G. Perforated duodenal ulcer in a tropical African population. J Natl Med Assoc. 1979 Mar;71(3):271–273. [PMC free article] [PubMed] [Google Scholar]
- BAZZANO J. J., HOOD T. K. Volvulus of stomach; report of case and review of literature. Ann Surg. 1952 Mar;135(3):415–420. doi: 10.1097/00000658-195203000-00014. [DOI] [PMC free article] [PubMed] [Google Scholar]
- GOSIN S., BALLINGER W. F., 2nd RECURRENT VOLVULUS OF THE STOMACH; REPORT OF A CASE WITH RECURRENCE AFTER SIMPLE DECOMPRESSION. Am J Surg. 1965 May;109:642–646. doi: 10.1016/s0002-9610(65)80021-6. [DOI] [PubMed] [Google Scholar]
- LASKY I. I., LICHTENSTEIN I. L. Idiopathic organo-axial volvulus of the stomach; case report. Ann Intern Med. 1956 Jul;45(1):126–132. doi: 10.7326/0003-4819-45-1-126. [DOI] [PubMed] [Google Scholar]
- NISSEN R. Gastropexy and "fundoplication" in surgical treatment of hiatal hernia. Am J Dig Dis. 1961 Oct;6:954–961. doi: 10.1007/BF02231426. [DOI] [PubMed] [Google Scholar]