Biomaterial Database

Gastric Volvulus: A Rare Etiology of Acute Chest Pain. 2021

Maryam A Sultan, and Alhanouf A Hakami, and Meshari I Alshabri, and Shahad A Alsuwailem, and Nuwayyir E Aqeel, and Rajis N Aldosari, and Tariq H Alrazhi, and Khaled A Al-Wesabi, and Abdullah A Alzayed, and Majed A Alanazi, and Aioub S Al Yousef, and Ahmed S Alromaihi, and Roaa M Aljadeed, and Sahar H Alomar, and Malak Alshammari

College of Medicine, Jazan University, Jizan, SAU.

Chest pain is one of the most common complaints in the emergency department. The etiologies of chest pain include a wide spectrum of conditions, ranging from mild and self-limited to life-threatening conditions. Gastrointestinal origins of acute chest pain, including esophageal, gastric, and biliary conditions, are not uncommon. We present the case of a 67-year-old man who presented to the emergency department with chest pain of three hours duration with pressure-like quality. The pain was associated with sweating, palpitation, nausea, and vomiting. The past medical history of the patient was remarkable for ischemic heart disease and percutaneous cardiac intervention. Both the electrocardiograph and cardiac biomarkers were normal. The patient experienced severe episodes of vomiting with one episode containing a small amount of blood. Upper gastrointestinal endoscopy revealed distorted anatomy of the stomach. Subsequently, the patient underwent a computed tomography scan which demonstrated an organoaxial gastric volvulus. The patient was resuscitated and underwent laparoscopic repair of the volvulus. Acute gastric volvulus is a very rare etiology of chest pain. Despite its rarity, physicians should keep a high index of suspicion of this condition after excluding the possible cardiac causes of chest pain.