Mesenteroaxial Gastric Volvulus

  • Etiology: diaphragmatic defect, stomach twists on its mesentery
  • Imaging: stomach is rotated around its short axis from lesser to greater curvature and stomach appears upside-down with antrum and pylorus superior to fundus and proximal body
  • Clinical: Borchardt triad – sudden epigastric pain, intractable retching, inability to pass nasogastric tube into stomach

Cases of Mesenteroaxial Gastric Volvulus