Acute Gastric Volvulus due to Diaphragmatic Hernia

Gastric volvulus is an uncommon cundition MUch is difficult to diagnose and treat. It designates abnormal rotation of the stomach along its longitudinal (organoaxial) or transverse (rnesenteroaxial) axis. When the rotation exceeds 180, gastric obstruction or strangulation may occur. The classical presentation of acute gastric volvulus is the triad of severe epigastric pain, vontiting followed by retching without the ability to vontit, and difficulty or inability to pass a nasogastric tube. Delay in diagnosis and treatment of gastric volvulus can lead to fatal complications such as gastric iscbentia, perforation, and hemorrhage. Gastric volvulus is a true emergency which should be treated inunediately either surgically or by upper endoscopy. We report a case of an acute incarcerated gastric volvulus due to a left-sided diaphragmatic hernia in an adult male patient, which was treated successfully by operation.