Abstract
A 69-year-old woman presented to our hospital with sudden nausea and epigastric pain. Her abdomen was tympanic, and upper abdominal tenderness without muscular defense was detected. Non-contrast CT scan revealed upside-down stomach, diagnosed as mesentero-axial gastric volvulus. A nasogastric tube was inserted after admission. On the following day, emergency laparoscopic gastropexy was performed because endoscopic repositioning was unsuccessful. The patient’s postoperative course was uneventful and she was discharged from hospital. Although acute gastric volvulus is relatively rare in adults, early diagnosis is critical because this condition has a risk of gastric perforation. In our case, abdominal CT was helpful to diagnose gastric volvulus.
