Delayed Diagnosis of Gastric Volvulus
Author Information
Author(s): Woon Colin Yi-Loong, Chung Alexander Yaw-Fui, Low Albert Su-Chong, Wong Wai-Keong
Primary Institution: Singapore General Hospital
Hypothesis
Can imaging techniques effectively diagnose intermittent mesenteroaxial volvulus of the stomach?
Conclusion
Imaging studies performed during symptom-free intervals may not be diagnostic for intermittent gastric volvulus, highlighting the importance of timely imaging during symptomatic episodes.
Supporting Evidence
- The patient had a long history of vague symptoms that were initially non-diagnostic.
- Imaging studies performed during symptom-free intervals were not helpful in diagnosing the condition.
- Elevated creatine kinase and aldolase levels were noted, indicating muscle injury.
Takeaway
Sometimes, when your stomach twists, it can be hard to tell what's wrong until it gets really bad, so doctors need to check when you're feeling sick.
Methodology
The diagnosis was made using serum investigations, endoscopy, and computed tomography.
Limitations
The case is based on a single patient, which may limit the generalizability of the findings.
Participant Demographics
A 73-year-old male with a history of lung cancer.
Digital Object Identifier (DOI)
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