Acute gastric volvulus: a case report.

The case report Miss TB, a 18 years young female patient was admitted in a private hospital of Savar area with complaints of pain in the epigastrium, right and left hypochondrium for five days. Initially, the pain was mild to moderate and spasmodic in nature but later the pain became severe and constant. The pain was not associated with vomiting, hematemesis, melena, jaundice or dyspnoea. There was history of inability of taking meal. There was past history of recurrent upper abdominal pain of short duration and used to subside spontaneously. On examination the patient was found in very poor general condition with moderate dehydration. Her pulse was 100/m and BP90/50 mmHg. Upper abdomen was distended moderately with moderate tenderness and severe rigidity. Liver and spleen were not palpable. There was no obliteration of liver dullness and no visible peristalsis or ascites. Digital rectal examination was found normal. Preoperatively nasogastric tube could not be introduced in the stomach. A provisional diagnosis of acute abdomen was done keeping in mind of acute upper GI tract obstruction.