title: Acute gastric volvulus in a patient with trisomy 21.
abstract: Acute gastric volvulus is a torsion of the stomach by more than 180° and a life-threatening condition. We present a 50-year-old male patient with acute abdominal pain who has Down syndrome/trisomy 21. Computed tomography showed a significant distended stomach with features of a severe gastric volvulus. Emergency operation in form of reduction and gastropexy was performed. We are not aware of any similar cases published in the English literature, where as gastric volvulus occurred in a patient with Down syndrome.
authors.affiliation: Department of Surgery, Amakusa Regional Medical Center, 854-1 Jikiba, Kameba-machi, Amakusa, Kumamoto, 863-0046, Japan. kota84115@gmail.com.|Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Sciences, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan. kota84115@gmail.com.
authors.forename: Kota
authors.initials: K
authors.lastname: Arima
authors.affiliation: Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Sciences, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan. daisukeh@kumamoto-u.ac.jp.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Hashimoto
authors.affiliation: Department of Surgery, Amakusa Regional Medical Center, 854-1 Jikiba, Kameba-machi, Amakusa, Kumamoto, 863-0046, Japan. Nckc-tkt@khaki.plala.or.jp.
authors.forename: Noboru
authors.initials: N
authors.lastname: Takata
authors.affiliation: Department of Surgery, Amakusa Regional Medical Center, 854-1 Jikiba, Kameba-machi, Amakusa, Kumamoto, 863-0046, Japan. doiyasuro@me.com.
authors.forename: Yasuro
authors.initials: Y
authors.lastname: Doi
authors.affiliation: Department of Surgery, Amakusa Regional Medical Center, 854-1 Jikiba, Kameba-machi, Amakusa, Kumamoto, 863-0046, Japan. y-ishm@lapis.plala.or.jp.
authors.forename: Ichiro
authors.initials: I
authors.lastname: Yoshinaka
authors.affiliation: Department of Surgery, Amakusa Regional Medical Center, 854-1 Jikiba, Kameba-machi, Amakusa, Kumamoto, 863-0046, Japan. k-harada@amed.jp.
authors.forename: Kazunori
authors.initials: K
authors.lastname: Harada
authors.affiliation: Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Sciences, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan. hdobaba@kumamoto-u.ac.jp.
authors.forename: Hideo
authors.initials: H
authors.lastname: Baba
keywords: Down syndrome; Emergency operation; Gastric volvulus