Gastric volvulus is a rare but life-threatening cause of upper gastrointestinal obstruction. About one-third of reported cases occur with acute onset and there is no specific laboratory or clinical findings. It can cause serious complications like gastric ischemia, necrosis or perforation; if occurs, rapid recognition and prompt surgical intervention are required. Mesenteroaxial form contains 29% of all cases and results in gastric ischemia more than other types. Here, we present a 46 year-old female patient with acute mesenteroaxial gastric volvulus. If gastric volvulus is one of the differential diagnoses, imaging studies become important. Computed tomography (CT) should be preferred as the first method of imaging for prompt diagnosis and surgical intervention because it enables multiplanar demonstration as well as providing valuable information about possible etiologies, complications and predisposing factors.
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