title: A case report of acute gastric volvulus with avulsion of the splenic vessels.
abstract: Gastric volvulus is a rare condition which usually presents with intermittent abdominal pain. It is typically associated with a paraoesophageal hiatus hernia and may present with acute strangulation or perforation. The mortality associated with an acutely obstructed volvulus may be up to 50%. Correspondingly, this condition is regarded as a surgical emergency. We present the history of a patient with an acute gastric volvulus and unexplained hypotension.
authors.affiliation: University Department of Surgery, Royal Infirmary of Edinburgh, Edinburgh. davidcairns@blueyonder.co.uk
authors.forename: D A
authors.initials: DA
authors.lastname: Cairns
authors.forename: M
authors.initials: M
authors.lastname: Hulme-Moir
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology*; D000368:Aged; D004636:Emergency Service, Hospital; D006801:Humans; D008297:Male; D013162:Splenic Vein / Q000293:injuries*; D013277:Stomach Volvulus / Q000150:complications / Q000601:surgery*