An Unusual Case of an Acute Mesenteroaxial Gastric Volvulus Secondary to a Hiatal Hernia

Gastric volvulus is characterized by the abnormal twisting of the stomach along its axis. It is a rare condition that can develop secondary to an underlying gastrointestinal anatomic defect such as a hiatal hernia. Gastric volvulus may present acutely with symptoms of gastric outlet obstruction and can lead to potentially fatal complications, if not treated in a timely manner. We present the case of a 74-year-old woman who presented with an acute mesenteroaxial gastric volvulus with gastric outlet obstruction that developed secondary to a large hiatal hernia.