Seen in Gastric Volvulus
1.Acute epigastric pain
2.Violent ineffective vomiting
3.Inability to pass a nasogastric tube
Gastric volvulus or volvulus of stomach is a twisting of all or part of the stomach by more than 180 degrees with obstruction of the flow of material through the stomach, variable loss of blood supply and possible tissue death. The twisting can occur around the long axis of the stomach: this is called organoaxial or around the axis perpendicular to this, called mesenteroaxial. Obstruction is more likely in organoaxial twisting than with mesenteroaxial while the latter is more associated with ischemia . About one third of the cases are associated with a hiatus hernia. Treatment is surgical.
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