Gastric volvulus is an uncommon disorder with an unknown incidence, unless it stays in the back of the diagnostician's mind, diagnosis of
gastric volvulus, which can have significant morbidity and mortality associated with it, can be easily missed and can present either in the acute or chronic setting with variable symptoms. When it occurs in the acute scenario, patients present with severe epigastric
pain and retching without
vomiting. Together with inability to pass nasogastric tube, they constitute Borchardt's triad. The presence of a
hiatal hernia with persistent
vomiting despite initial
antiemetic treatment should trigger one to think of
gastric volvulus, despite the patient appearing very stable. We report a case which presented in our hospital with
abdominal pain and
vomiting. As Oesophagogastroduodenoscopy shows
hiatal hernia and
peptic ulcer. Primary
gastric volvulus occurs in the absence of any defect in the diaphragm or adjacent organ pathology and may be caused by weakening of gastric supports. As conclusion;
Gastric volvulus is a surgical case, requiring early diagnosis and aggressive management, as a delay results into complications like
gangrene and perforation which substantially increase the morbidity and mortality in these patients, and contrast enhanced computed tomography (CECT) is the best modality for diagnosis of
gastric volvulus.