Mesentero-axial gastric volvulus

Discussion:

The stomach is twisted over its axial plane (short axis) along the mesenteric attachment with a replaced position of the gastroesophageal and the pyloroduodenal junction, with the latter being in superior level. There is no associated diaphragmatic hernia. Wandering spleen is noted which is an association. No evidence of gastric ischemic changes. Gastric volvulus can occur at any age, however it is more common in children especially the mesentero-axial type.

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