Gastric volvulus - Revision history

ClaireLewis: /* Evaluation */

2019-10-28T16:33:18Z

Evaluation

← Revisión anterior		Revisión del 16:33 28 oct 2019
Línea 17:		Línea 17:
	*Evaluate for other causes of pain		*Evaluate for other causes of pain
	*[[CXR]] may show retrocardiac air-filled gastric shadow<ref>https://epmonthly.com/article/gastric-volvulus/</ref>		*[[CXR]] may show retrocardiac air-filled gastric shadow<ref>https://epmonthly.com/article/gastric-volvulus/</ref>
	*Upright CXR and abdominal XR		*Upright CXR and [[abdominal x-ray]]
	**Intrathoracic, upside-down stomach		**Intrathoracic, upside-down stomach
	**Double air fluid level in stomach		**Double air fluid level in stomach

ClaireLewis: /* Management */

2019-09-24T17:50:53Z

Management

← Revisión anterior		Revisión del 17:50 24 sep 2019
Línea 28:		Línea 28:
	*[[NG tube]] for decompression		*[[NG tube]] for decompression
	*Surgery consult		*Surgery consult
	*Analgesia		*[[Analgesia]]

	==Disposition==		==Disposition==

ClaireLewis: /* Evaluation */

2019-09-10T16:33:05Z

Evaluation

← Revisión anterior		Revisión del 16:33 10 sep 2019
Línea 17:		Línea 17:
	*Evaluate for other causes of pain		*Evaluate for other causes of pain
	*[[CXR]] may show retrocardiac air-filled gastric shadow<ref>https://epmonthly.com/article/gastric-volvulus/</ref>		*[[CXR]] may show retrocardiac air-filled gastric shadow<ref>https://epmonthly.com/article/gastric-volvulus/</ref>
			*Upright CXR and abdominal XR
			**Intrathoracic, upside-down stomach
			**Double air fluid level in stomach
			**Collapsed small bowel
	*CT abdomen most helpful		*CT abdomen most helpful
	**May show signs of gastric ischemia		**Gastric herniation around points of torsion
			**May show signs of gastric ischemia, seen a lack of contrast enhancement of gastric wall

	==Management==		==Management==

ClaireLewis: Created page with "==Background== Abnormal rotation of the stomach around its short or long axis Rare but potentially life-threatening due to potential for untreated volvulus to progress to st..."

2019-08-21T22:09:11Z

Created page with "==Background== *Abnormal rotation of the stomach around its short or long axis *Rare but potentially life-threatening due to potential for untreated volvulus to progress to st..."

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==Background==
*Abnormal rotation of the stomach around its short or long axis
*Rare but potentially life-threatening due to potential for untreated volvulus to progress to strangulation and cause gastric ischemia and perforation
*Usually associated with paraesophageal hernia or diaphragmatic eventration<ref>Wu MH, Chang YC, Wu CH, Kang SC, Kuan JT. Acute gastric volvulus: a rare but real surgical emergency. Am J Emerg Med. 2010;28(1):118.e5-7.</ref>

==Clinical Features==
*Usually appear relatively well until progressed to gastric ischemia
*[[Abdominal pain]]/tenderness and distension, particularly upper abdomen
*[[Vomiting]], retching that often does not respond to [[antiemetics]]

==Differential Diagnosis==
{{Abdominal Pain DDX Diffuse}}

{{Abdominal Pain DDX Epigastric}}

==Evaluation==
*Evaluate for other causes of pain
*[[CXR]] may show retrocardiac air-filled gastric shadow<ref>https://epmonthly.com/article/gastric-volvulus/</ref>
*CT abdomen most helpful
**May show signs of gastric ischemia

==Management==
*[[NG tube]] for decompression
*Surgery consult
*Analgesia

==Disposition==
*Admit

==See Also==

==External Links==

==References==
<references/>
[[Category:Surgery]]

Gastric volvulus - Revision history

ClaireLewis: /* Evaluation */

ClaireLewis: /* Management */

ClaireLewis: /* Evaluation */

ClaireLewis: Created page with "==Background== *Abnormal rotation of the stomach around its short or long axis *Rare but potentially life-threatening due to potential for untreated volvulus to progress to st..."

ClaireLewis: Created page with "==Background== Abnormal rotation of the stomach around its short or long axis Rare but potentially life-threatening due to potential for untreated volvulus to progress to st..."