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May 1956

Gastic Volvulus as a Cause of Obstruction: Report of Seven Cases

Author Affiliations

Denver; Rocky Ford, Colo.

AMA Arch Surg. 1956;72(5):764-772. doi:10.1001/archsurg.1956.01270230028004

Reports in the literature indicate that obstructing gastric volvulus is an infrequent abdominal emergency. Early diagnosis is difficult. Both clinical and roentgenologic evidence is necessary for proper diagnosis. We are presenting the report of seven cases recently encountered for the purpose of reviewing the clinical aspects of the entity, establishing gastric volvulus as a potential postoperative complication, showing that it may be caused by trauma, and further emphasizing the importance of early diagnosis and definitive treatment.


Case 1.  —A 64-year-old woman had had typical episodes of gallstone colic for 10 years. On the day she was admitted to the hospital, the symptoms became acute and persistent. She had fever, leucocytosis, a rapid pulse, and localized tenderness in the upper part of the abdomen. Exploration the next day revealed an acutely inflamed gall bladder. 'It was removed, and the abdomen was drained and closed. Her postoperative course was