2015 Volume 35 Issue 7 Pages 913-916
A 47-year-old male patient with Marfan syndrome was diagnosed as having a huge chronic expanding hematoma around a thoraco-abdominal aortic prosthesis seven years after aortic grafting for aortic dissection. He developed acute gastric distension and he was diagnosed as having acute gastric volvulus by an endoscopic examination after surgical removal of the hematoma. The volvulus was dissolved endoscopically, but it relapsed soon. The volvulus was finally resolved by surgical gastric wall fixation. Hyperextension of the stomach by the huge hematoma and fragile connective tissue associated with the Marfan syndrome were considered to be the causes of the gastric volvulus in the present case. We should bear in mind that Marfan syndrome patients could develop acute gastric volvulus.
