• Acta Chir Belg · Aug 2018

    Case Reports

    A rare cause of severe epigastric pain, emesis and increased lipase.

    • Daan Van Olmen, Francis Somville, and Gerry Van der Mieren.
    • a Faculty of Medicine , University of Leuven , Leuven , Belgium.
    • Acta Chir Belg. 2018 Aug 1; 118 (4): 254-257.

    IntroductionGastric volvulus is an uncommon, but severe pathology requiring early diagnosis and urgent treatment. Its atypical symptoms and rarity make it difficult to diagnose, possibly leading to delayed treatment and fatal complications.Patients And MethodsWe present a case of a 73-year-old patient with Parkinson's disease with complaints of severe epigastric pain, emesis and an increased lipase.ResultsDiagnosis of an organo-axial gastric volvulus was made. Treatment consisted of reduction of the volvulus by decompression via nasogastric tube. The underlying cause was a para-esophageal hernia that was repaired by Nissen-fundoplication later on.ConclusionsWe describe symptomatology, diagnostic and therapeutic options of gastric volvulus.

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