Acute Gastric Volvulus and Atrial Fibrillation with RVR: A Coincidence or Association. (8th March 2017)

• Record Type: Journal Article
• Authors: Nadhem, Omar; Salh, Omar; Khasawneh, Faisal
• Other Names: Starkopf Joel Academic Editor.
• Is Part Of: Case reports in critical care. Volume 2017(2017)
• Publication Date: 2017-03-08
• Subjects: Critical care medicine -- Periodicals; Emergency medicine -- Periodicals; Medical emergencies -- Periodicals; 616.02805
• DOI: 10.1155/2017/9403601
• Languages: English
• ISSNs: 2090-6420

Abstract

Abstract : Gastric volvulus is a rare and life-threatening condition that involves the abnormal rotation of the stomach around its axis by more than 180°. The association between acute gastric volvulus and atrial fibrillation with rapid ventricular response is rare with only few cases that have been reported. Our patient was an 86-year-old female who presented with upper abdominal pain, distension, nausea, and shortness of breath. Clinical and laboratory workup revealed acute gastric volvulus with diaphragmatic hernia. On presentation, she was also in atrial fibrillation with rapid ventricular response. She was successfully treated by laparotomy with reduction of the gastric volvulus and repair of the diaphragmatic hernia, with significant improvement.