A Wolf In Sheep’s Clothing: Acute Idiopathic Subdiaphragmatic Mesenteroaxial Gastric Volvulus A CASE TO REMEMBER

58 CASE PRESENTATION A 73-year-old African-American woman was admitted to the hospital with a two-day history of epigastric pain. The pain was described as progressively sharp in character without radiation, aggravating or alleviating factors. She complained of nausea and vomiting but denied any constipation, diarrhea or weight loss. On physical examination the patient was found to have normal vital signs. Abdominal examination revealed epigastric tenderness with normal bowel sounds. There was no evidence of abdominal distention, guarding or succussion splash. Rectal examination was normal. Admitting labs along with chest x-ray and EKG were normal. CT scan of the chest and abdomen revealed a dilated stomach but no masses were seen (Figure 1). A Wolf In Sheep’s Clothing: Acute Idiopathic Subdiaphragmatic Mesenteroaxial Gastric Volvulus A CASE TO REMEMBER