Back to the list
Congress: ECR25
Poster Number: C-17444
Type: Poster: EPOS Radiologist (scientific)
Authorblock: A. Martínez De Mandojana, A. W. Wu, L. Bueno Caravaca, J. T. Cámara, J. C. Cerro Del Pozo, F. Ruiz Santiago, A. J. Lainez Ramos-Bossini; Granada/ES
Disclosures:
Ana Martínez De Mandojana: Nothing to disclose
Angdy Wang Wu: Nothing to disclose
Lucía Bueno Caravaca: Nothing to disclose
José Tortosa Cámara: Nothing to disclose
Juan Carlos Cerro Del Pozo: Nothing to disclose
Fernando Ruiz Santiago: Nothing to disclose
Antonio Jesus Lainez Ramos-Bossini: Nothing to disclose
Keywords: Abdomen, Emergency, Gastrointestinal tract, CT, CT-High Resolution, Fluoroscopy, Complications, Diagnostic procedure, Outcomes analysis, Education and training, Image verification, Volvulus
Purpose Gastric volvulus (GV) is an uncommon pathology that results from a twist of the stomach of more than 180 degrees around its own axis, causing a closed-loop obstruction [1,2]. GV represents a potentially life-threatening surgical emergency [3-5]. Computed tomography (CT) is the gold standard test for its diagnosis, as the clinical symptoms are nonspecific [6,7]. Recently, the term ‘back-and-forth stomach’ has been proposed for some authors to describe a type of GV with specific radiological features. According to these authors,...
Read more Methods and materials Retrospective, multicenter, observational study of GV cases in seven hospitals. Inclusion and exclusion criteria were defined as follows; Inclusion criteria: adults over 18 years of age, GV diagnosis confirmed by CT scan by two radiologists and/or surgery, and the presence of HH prior to GV. Exclusion criteria: repeated scans performed on the same patient, non-diagnostic quality studies (artifacts or incomplete studies), discrepancies in the radiological diagnosis between two evaluators and patients without radiological evidence of HH prior to acute GV.CT...
Read more Results The study included 20 patients with acute GV, all of whom had a previous radiological diagnosis of HH (mean age: 71.90 years; 52% women). The mean time since HH diagnosis was 4.71 years and the most frequent type of HH prior GV was sliding.The flowchart of the study is shown in figure 3. [fig 3] Table 1 shows the sociodemographic characteristics, as well as the type of HH and GV in the sample. [fig 1] To date, the largest sample of GV cases published...
Read more Conclusion Practically all of the GVs in our sample presented radiological features consistent with a ‘back-and-forth stomach’. Our study reinforces the idea that the majority of GVs are caused by this mechanism. In addition, potentially useful radiological signs have been identified, which could help radiologists improve the diagnosis of GV.Furthermore, we found that the duration of symptoms prior to performing the CT scan is associated with the presence of radiological complications, which could contribute to the management of these patients through...
Read more References Láinez Ramos-Bossini AJ, Ruiz Carazo E, Rabadán Caravaca MD. ‘Back-and-Forth Stomach’ CT Imaging Findings of a Pathophysiologic Entity Causing Acute Gastric Volvulus. Tomography. 2022;8(1):245–56. Okeny PK, Abbassi O, Warsi A. Second-look laparostomy for perforated gangrenous gastric volvulus to prevent total gastrectomy. BMJ Case Rep. 2018;bcr-2017-223060. Albloushi D, Quttaineh D, Alsafran S, Alyatama K, Alfawaz AA, Alsulaimy M, et al. Acute gastric volvulus: A rare case report and literature review. Ann Med Surg (Lond). 2021;70. Parker DM, Rambhajan A, Johanson K, Ibele A, Gabrielsen...
Read more
GALLERY