title: Difficulties in diagnosing an intermittent mesenteroaxial gastric volvulus.
abstract: Mesenteroaxial volvulus is a form of gastric volvulus that rotates around the short axis of the stomach. Mesenteroaxial volvulus typically presents secondary to an anatomical defect with symptoms that include epigastric pain, retching, dysphagia and early satiety. Our patient presented with episodic abdominal pain, nausea and vomiting for 2 years. Previous imaging was unremarkable but an esophagogastroduodenoscopy done when the patient most recently presented with abdominal pain revealed a mesenteroaxial volvulus. He underwent a laparoscopic gastrostomy-tube gastropexy and has not had any recurrence of his symptoms to date. This case illustrates the difficulties in diagnosing an intermittent volvulus as untimely imaging of a temporarily unfolded volvulus can delay diagnosis and treatment.
authors: NOVA Southeastern University College of Osteopathic Medicine, Davie, FL, USA kangdavi@gmail.com.
authors: David J
authors: DJ
authors: Kang
authors: Department of General Surgery, Bethesda Memorial Hospital, Boynton Beach, FL, USA.
authors: Matthew
authors: M
authors: D'Alessio
authors: NOVA Southeastern University College of Osteopathic Medicine, Davie, FL, USA.
authors: Andrew S
authors: AS
authors: Pan
authors: NOVA Southeastern University College of Osteopathic Medicine, Davie, FL, USA.
authors: Victor A
authors: VA
authors: Jaffe