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Gastric Volvulus

 Syn. Gastric torsion

Signs & Symptoms

 Chest pain
Ref: Uptodate [ Gastric volvulus in adults]
Abdominal pain
Ref: Uptodate [ Gastric volvulus in adults]
Severe pain in upper abdomen #Acute_gastric_volvulus
Ref: Uptodate [ Gastric volvulus in adults] Cecil [ 415]
Pain in lower chest #Acute_gastric_volvulus
Ref: Uptodate [ Gastric volvulus in adults]

Physical Examination

 Borchardt triad #Acute_gastric_volvulus
Ref: Uptodate [ Gastric volvulus in adults] Cecil [ 415]
Inability to pass a nasogastric tube #Acute_gastric_volvulus
Ref: Uptodate [ Gastric volvulus in adults] Cecil [ 415]
Upper abdominal distention #Obstruction #Acute_gastric_volvulus #complete_gastric_outlet_obstruction
Ref: Uptodate [ Gastric volvulus in adults]

Lab / Serology

 Evidence of volume depletion #Acute_gastric_volvulus
Note: due to recurrent vomiting
Ref: Uptodate [ Gastric volvulus in adults]
Hypokalemia #Acute_gastric_volvulus
Note: due to recurrent vomiting
Ref: Uptodate [ Gastric volvulus in adults]
Electrolyte abnormalities #Acute_gastric_volvulus
Note: due to recurrent vomiting
Ref: Uptodate [ Gastric volvulus in adults]

Imagin Study

Complication

Risk Factors

 Age > 50
Ref: Unknown [ 0]
Diaphragmatic abnormalities
Ref: Unknown [ 0]
Previous abdominal surgery
Ref: Unknown [ 0]

Cause

Other