IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Organoaxial gastric volvulus

Case contributed by Daniel Moreira Furlanetto
Diagnosis almost certain

Presentation

Progressive dysphagia and a history of a long known untreated hiatus hernia.

Patient Data

Age: 75 years
Gender: Male
x-ray

Large retrocardiac mass with air-fluid level.

Pulmonary findings suggest COPD.

Fluoroscopy

Large hiatal hernia associated with inversion of the greater and lesser curvatures.

Gastroesophageal reflux is also observed.

Case Discussion

Relatively rare clinical syndrome characterized by torsion of part or all of the stomach. It can occur at any age. The most significant single associated condition is gastric herniation either through the esophageal hiatus or a diaphragmatic defect. There are two types: organoaxial, in which the stomach rotates along its long axis, and mesenteroaxial, rotating along a short axis joining the greater and lesser curvatures.

This case presents the typical patient with an organoaxial volvulus: elderly with progressive dysphagia and a long history of neglected hernia.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.