Gastric volvulus is an uncommon clinical entity seen in both adults and pediatric patients. It occurs when
the stomach is rotated atleast 180 degrees along its longitudinal or transverse axes. Gastric volvulus may
present acutely or may present with intermittent, recurrent and chronic symptoms. In acute presentation, there is risk of
strangulation of stomach leading to necrosis , perforation and shock. Hence, prompt diagnosis and treatment of acute gastric
volvulus helps to decrease morbidity and mortality. We encountered a case of a 20 year old male patient who presented to the
emergency department with acute onset of abdominal pain and distension. Following Contrast Enhanced Computed
Tomography and upper GI endoscopy a diagnosis of acute strangulated gastric volvulus with eventeration of left
hemidiaphragm was made and patient was posted for emergency laparotomy. Intraoperative ndings included
mesenteroaxial volvulus of the stomach with transmural necrosis of the fundus and proximal part of body of stomach along the
greater curvature with eventeration of left hemidiaphragm and superior displacement of spleen with infarct of lower part of
spleen
Acute gastric volvulus through an unsuspected diaphragmatic hernia
