MediAI

Keywords: Gastric volvulus with perforation, gastric volvulus, stomach torsion, acute abdomen, gastrointestinal emergency, gastric perforation, CT imaging gastric volvulus Introduction Gastric volvulus is a rare but life-threatening condition characterized by an abnormal rotation of the stomach along its anatomical axes, potentially resulting in obstruction, ischemia, necrosis, and perforation. When gastric volvulus is complicated by perforation, the risk of mortality increases substantially, making timely diagnosis and surgical intervention imperative. Although first described in the 19th century, gastric volvulus remains a diagnostic challenge due to its variable clinical presentation and overlap with other abdominal emergencies. This column provides a comprehensive discussion of etiology, pathophysiology, epidemiology, clinical presentation, imaging findings, treatment, and prognosis of gastric volvulus with perforation, supported by the provided case material and current lite...