A 40-year-old quadriplegic female with vomiting and abdominal distension that did not improve visited our clinic. She had a history of repeated episodes of gastric volvulus. Abdominal computed tomography suggested gastric volvulus and she was admitted to our hospital (day 1). A nasogastric tube was inserted on day 1. The gastric volvulus was released, and she did not relapse. The abdominal distension improved, and she was discharged on day 13.
Although rare in adults, gastric volvulus may require emergency surgery; therefore, in patients who present with vomiting, it is important to keep in mind gastric volvulus among the differential diagnoses. The diagnosis of gastric volvulus in this patient could be made from her previous abdominal symptoms, and imaging findings.
