II. Epidemiology

  1. Rare condition occuring at the extremes of age

III. Pathophysiology

  1. Elderly represent most cases
    1. Volvulus occurrs within large paraesophageal Hernias
    2. Stomach typically twists along its long axis (organoaxial Volvulus)
  2. Infants (20% of cases)
    1. Volvulus occurrs within congenital Diaphragmatic Hernias
    2. Stomach typically twists along its short axis (Mesenteroaxial Volvulus)

IV. Findings

V. Management

  1. Attempt Nasogastric Tube placement
    1. Often difficult to pass, but if successful, may reduce Volvulus
  2. Consult surgery emergently
    1. However, unlike other Volvulus, redundant circulation often prevent gastric infarction

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Related Studies

Ontology: Stomach Volvulus (C0038359)

Definition (MSH) Twisting of the STOMACH that may result in gastric ISCHEMIA and GASTRIC OUTLET OBSTRUCTION. It is often associated with DIAPHRAGMATIC HERNIA.
Concepts Disease or Syndrome (T047)
MSH D013277
SnomedCT 71851009
English Stomach Volvulus, Volvulus, Stomach, gastric volvulus, gastric volvulus (diagnosis), Stomach Volvulus [Disease/Finding], volvulus of stomach, stomach volvulus, volvulus stomach, Gastric torsion, Gastric volvulus, Volvulus of stomach, Gastric volvulus (disorder), stomach; volvulus, volvulus; stomach, Gastric volvulus, NOS, Gastric Volvulus, Volvulus, Gastric
Swedish Ventrikelvolvulus
Japanese イジクネンテン, 胃軸捻転, 胃捻転, 胃軸捻転症
Czech žaludek - volvulus, Volvulus žaludku
Finnish Mahalaukun kiertymä
Italian Volvolo gastrico, Volvolo dello stomaco
Polish Skręt żołądka
Hungarian Gyomorcsavarodás
Norwegian Ventrikkelvolvulus
Dutch maag; volvulus, volvulus; maag, maagvolvolus, Maagvolvulus, Volvulus, maag-
Spanish torsión de estómago, vólvulo gástrico (trastorno), vólvulo gástrico, Vólvulo gástrico, Vólvulo del Estómago, Vólvulo Gástrico
Portuguese Vólvulo gástrico, Volvo Gástrico, Volvo do Estômago
German Magenvolvulus, Volvulus ventriculi, Volvulus, Magen-
French Volvulus gastrique, Volvulus de l'estomac

Ontology: Organoaxial gastric volvulus (C0267191)

Concepts Disease or Syndrome (T047)
SnomedCT 11672007
English Organoaxial gastric volvulus, Organoaxial gastric volvulus (disorder)
Spanish torsión gástrica organoaxial, vólvulo gástrico organoaxial (trastorno), vólvulo gástrico organoaxial, vólvulo organoaxial gástrico

Ontology: Mesenteroaxial gastric volvulus (C0267192)

Concepts Disease or Syndrome (T047)
SnomedCT 35865007
English Mesenteroaxial gastric volvulus, Mesenteroaxial gastric volvulus (disorder)
Spanish torsión gástrica mesenterioaxial, vólvulo gástrico mesenterioaxial (trastorno), vólvulo gástrico mesenterioaxial, vólvulo mesenterioaxial gástrico