{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:10:04Z","timestamp":1756361404888,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Gastric volvulus is a rare cause for acute visceral obstruction, with a high mortality rate that rises with delay in definitive treatment. A 33-year-old woman with a rare chromosomal mutation (46,XX,del(6)(q25.1q25.3)) presented with evidence of acute visceral obstruction. Diagnostic difficulties delayed treatment and she clinically deteriorated. Urgent CT imaging revealed acute mesentero-axial gastric volvulus. At laparotomy, global failure of colonic and splenic fixation was found. The viscera were de-rotated, the stomach salvaged and gastropexy and colopexy were performed. This is the first report of gastric volvulus secondary to congenital absence of colonic and splenic ligamentous attachments occurring in a patient over 30\u2005years of age. This case is interesting not only due to unique pathology, but also highlights that general surgeons must be aware of the possibility of unusual causes for intestinal obstruction in patients with recognised genetic abnormalities, even in adult cases, to avoid harmful diagnostic delay.<\/jats:p>","DOI":"10.1136\/bcr-2013-009109","type":"journal-article","created":{"date-parts":[[2013,7,13]],"date-time":"2013-07-13T04:42:51Z","timestamp":1373690571000},"page":"bcr2013009109","source":"Crossref","is-referenced-by-count":0,"title":["Acute visceral obstruction"],"prefix":"10.1136","volume":"2013","author":[{"given":"Sarah Elizabeth","family":"Mabbutt","sequence":"first","affiliation":[{"name":"Department of Hepato-Biliary Surgery, University Hospitals Bristol, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver Charles","family":"Burdall","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Bristol Children's Hospital, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjeeva","family":"Kariyawasam","sequence":"additional","affiliation":[{"name":"Department of Gastric Surgery, University Hospitals Bristol, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,7,13]]},"reference":[{"key":"2025082722555538000_2013.jul13_1.bcr2013009109.1","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1017\/S1481803500004206","article-title":"Acute gastric volvulus\u2014case report and review of the literature","volume":"2013","author":"Sevcik","year":"1999","journal-title":"CJEM"},{"key":"2025082722555538000_2013.jul13_1.bcr2013009109.2","first-page":"39","article-title":"Volvulus of the stomach","volume":"2013","author":"Wastell","year":"1971","journal-title":"Br J Surg"},{"key":"2025082722555538000_2013.jul13_1.bcr2013009109.3","first-page":"131","article-title":"Volvulus of the stomach","volume":"2013","author":"Dalggard","year":"1952","journal-title":"Acta Clin Scand"},{"key":"2025082722555538000_2013.jul13_1.bcr2013009109.4","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/0002-9610(80)90424-9","article-title":"Acute gastric volvulus: a study of 25 cases","volume":"2013","author":"Carter","year":"1980","journal-title":"Am J Surg"},{"key":"2025082722555538000_2013.jul13_1.bcr2013009109.5","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1016\/0736-4679(94)90270-4","article-title":"Gastric volvulus: 2 cases and review of the literature","volume":"2013","author":"Milne","year":"1994","journal-title":"J Emerg Med"},{"key":"2025082722555538000_2013.jul13_1.bcr2013009109.6","first-page":"243","article-title":"Zun pathologie and therapie des magnevolvulus","volume":"2013","author":"Borchadt","year":"1904","journal-title":"Arch Klin Chir"},{"key":"2025082722555538000_2013.jul13_1.bcr2013009109.7","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1007\/s00595-006-3262-1","article-title":"Laparoscopic repair of gastric volvulus associated with wandering spleen in an adult: report of a case","volume":"2013","author":"Matushima","year":"2006","journal-title":"Surg Today"},{"key":"2025082722555538000_2013.jul13_1.bcr2013009109.8","doi-asserted-by":"crossref","first-page":"e752","DOI":"10.1542\/peds.2007-3111","article-title":"Gastric volvulus in infants and children","volume":"2013","author":"Cribbs","year":"2008","journal-title":"Pediatrics"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-009109","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:56:06Z","timestamp":1756360566000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-009109"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,7,13]]},"references-count":8,"alternative-id":["10.1136\/bcr-2013-009109"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-009109","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,7,13]]}}}