A CASE OF SECONDARY GASTRIC VOLVULUS - A CASE REPORT

Dr. K.Senthil Kumar; Dr. T.Praveen; Dr. P.Thangamani; Dr. R.Kannan

Volume : IX, Issue : II, February - 2020

A CASE OF SECONDARY GASTRIC VOLVULUS - A CASE REPORT

Dr. K. Senthil Kumar, Dr. T. Praveen, Dr. P. Thangamani, Dr. R. Kannan

Abstract :

Gastric volvulus secondary to postoperative inflammatory adhesions is a rare phenomenon.We report a case of 58 year old female presented with complaints of abdominal pain,abdominal distension and obstipation for 2 days.she is a known case of carcinoma anorectum for which diversion transverse loop colostomy was done.on examination,patient had abdominal distension with epigastric tenderness.CECT abdomen showed features suggestive of gastric volvulus.UGI scopy confirmed the diagnosis of gastric volvulus,endoscopic derotation was attempted but it was not successful.Patient was taken for emergency exploratory laparotomy which revealed a Grossly dilated edematous stomach with Mesenteroaxial type of gastric volvulus secondary to Inflammatory adhesive mass adherent to stomach,lesser omentum and transverse mesocolon.Adhesiolysis with enbloc removal of inflammatory mass along with anterior gastropexy done.