title: Gastric volvulus and wandering spleen: a rare surgical emergency.
abstract: Gastric volvulus is a rare but potentially life-threatening clinical entity due to possible gastric necrosis. A wandering spleen may also be associated with gastric volvulus. Patients presenting with the triad epigastralgia, vomiting followed by retching, and difficulty or inability to pass a nasogastric tube into the stomach are likely to have gastric volvulus. The operating surgeon should include this rare entity in the differential diagnosis when dealing with a patient with such a clinical profile. Herein, we present a case of gastric volvulus associated with a wandering spleen in a 28-year-old Caucasian woman and we provide a brief review of the literature on this issue.
authors.affiliation: Division of Surgery, University Hospital of Ioannina, St. Niarchou Avenue, 45110 Ioannina, Greece.
authors.forename: Georgios
authors.initials: G
authors.lastname: Lianos
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Vlachos
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Papakonstantinou
authors.forename: Christos
authors.initials: C
authors.lastname: Katsios
authors.forename: Georgios
authors.initials: G
authors.lastname: Baltogiannis
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Godevenos