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Endoscopic Treatment of Acute Gastric Volvulus Causing Cardiac Tamponade

Wolfgang, Robert D.O.; Lee, John G. M.D.

Journal of Clinical Gastroenterology: April 2001 - Volume 32 - Issue 4 - p 336-339
Case Reports

Acute gastric volvulus occurs when the stomach, or part of the stomach, rotates more than 180 degrees, creating a closed-loop obstruction, which eventually leads to ischemia and strangulation. Acute gastric volvulus may occur in association with a diaphragmatic defect, diaphragmatic elevation of any cause, tumors of the pancreas and stomach, trauma, and congenital abnormalities of mesenteric fixation. We describe an unusual case of an acute gastric volvulus causing cardiac tamponade, which was successfully treated by endoscopic reduction of the gastric volvulus.

From the University of California at Davis Medical Center, Division of Gastroenterology Sacramento, California, U.S.A.

Submitted July 14, 1999.

Accepted September 10, 1999.

Address correspondence and reprint requests to Dr. John G. Lee, Division of Gastroenterology, UC Davis Medical Center, 4150 V Street, Room 3500, Sacramento, CA 95817, U.S.A. E-mail: jgllee@ucdavis.edu

© 2001 Lippincott Williams & Wilkins, Inc.