Abstract

Diagnosing a gastric volvulus is difficult, since there is no one laboratory or radiological technique sensitive enough to exclude the diagnosis. Sixty-five years old woman was admitted to our clinic due to dyspeptic symptoms for five years. She had nausea, vomiting and abdominal pain after meals and loss of weight. There was a bubble of gas on the chest X-ray. Gastric fundus was determined above the diaphragm on the barium swallow and gastric rotational anomaly was diagnosed. The patient was treated by surgery. Gastric detortion, gastropexy and diaphragmatic hernia repaired with laparatomy. In conclusion, if there are dyspeptic symptoms combined with unexpected bubble gase on the chest X-ray, we should remember gastric volvulus and get a barium swallow.

Key Words: Gastric volvulus, Diaphragmatic hernia, Radiology