Idiopathic Gastric Volvulus with Splenic Hemorrhage That Was Treated by Endoscopic Repositioning: A Case Report

Abstract

The patient was an 80-year-old man taking regular oral anticoagulant medication after undergoing surgery for valvular heart disease. He presented to us complaining of abdominal pain, anorexia, and nausea. CT of the abdomen demonstrated gastric volvulus with splenic hemorrhage. His vital signs were normal and the abdominal CT revealed no obvious extravascular leakage; therefore, we treated the gastric volvulus by endoscopic repositioning. The hemorrhage was controlled and the gastric volvulus did not recur after the procedure. The gastric volvulus was considered as having been caused by a cascade stomach. Treatment by endoscopic repositioning without operation for a case of gastric volvulus with splenic hemorrhage is rare. However, as endoscopic repositioning is a minimally invasive technique, it is considered as the treatment of the first choice for gastric volvulus in high-risk patients, like in this case.