Gastric volvulus is a rare condition, either acute or chronic presentation. The vague presentation makes the diagnosis difficult with subsequent difficulty in management. Borchardt’s triad helps to clinch the diagnosis on a clinical basis; however, barium swallow, CT scan, and endoscopy are more reliable investigations. We describe a case of a 17year male patient who presented with complaints of 3 days history of abdominal pain over the epigastrium region and distension over the same region. With the initial diagnosis of acute abdomen, the patient was taken for an emergency laparotomy. The diagnosis and the intraoperative findings allowed us to discuss the gastric volvulus condition and its management.
Key words: Acute gastric volvulus, gastric wall necrosis, Borchardt’s triad, total gastrectomy, Roux en Y gastrojejunostomy
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