11th International Conference on Clinical and Medical Case Reports
Madrid, Spain
Joie Sheen Ayuste Bastian
Davao Doctors Hospital, Philippines
Biography
Gastric volvulus is a clinical dilemma due to its nonspecific history and physical examination. Early diagnosis is warranted, and if left undetected, may cost the patient’s life. Due to difficulty in diagnosis, most cases are unreported, which is evident by an unknown incidence and prevalence of this condition. With the advent of advanced imaging modality and ancillary procedures, patients affected with gastric volvulus may now be treated at its golden period. Surgical intervention remains the gold standard of treatment in patients with this clinical entity and has a significant effect in prognosis when addressed immediately. This is a case report of a 67 year-old female who presented with an 8-week history of abdominal pain, hematemesis and vomiting. Seen initially by a gastroenterologist, an upper GI endoscopy was performed which showed a gastric mass lesion causing difficulty of the scope to traverse the body of the stomach. CT scan of the whole abdomen revealed an organo-axial gastric volvulus. The patient was referred to general surgery service and was scheduled for exploratory laparotomy, detorsion of gastric volvulus, wide excision of gastric mass, gastrorrhaphy and gastropexy. Post-operative course was unremarkable. Further work up on histopathology and immunohistochemical staining, turned out to be positive for CD 117, revealing gastrointestinal stromal tumor as the turning point causing the volvulus.