Gastric remnant mesentero-axial volvulus following Roux-en-Y esophagojejunostomy: A rare complication

Abstract

Highlights • Acute gastric volvulus is characterized by abnormal rotation of the stomach by more than 180°, creating a closed loop obstruction with the risk of strangulation, necrosis and perforation.• Diagnosis of gastric volvulus is challenging due to non-specific presentation and rarity of this clinical condition.• The diagnosis is even more challenging in patients with altered anatomy and requires high index of suspicion.• Extensive gastric mobilization is a key step in several foregut and bariatric surgeries.• This mobilization will leave the stomach with no attachments posteriorly and along the greater curvature, increasing the likelihood of volvulus.