Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Oct 27, 2024; 16(10): 3350-3357
Published online Oct 27, 2024. doi: 10.4240/wjgs.v16.i10.3350
Acute gastric volvulus combined with pneumatosis coli rupture misdiagnosed as gastric volvulus with perforation: A case report
Qi Zhang, Xiu-Juan Xu, Jun Ma, Hai-Ying Huang, Ya-Ming Zhang
Qi Zhang, Jun Ma, Ya-Ming Zhang, Department of General Surgery, Anqing Municipal Hospital, Anqing 246000, Anhui Province, China
Xiu-Juan Xu, Department of Critical Medicine, Anqing Municipal Hospital, Anqing 246000, Anhui Province, China
Hai-Ying Huang, Department of Gastroenterology, Anqing Municipal Hospital, Anqing 246000, Anhui Province, China
Co-first authors: Qi Zhang and Xiu-Juan Xu.
Author contributions: Zhang Q and Huang HY completed the surgery; Zhang YM and Ma J revised the article; Zhang Q and Xu XJ wrote the manuscript. All authors have read and approved the final manuscript. Zhang Q and Xu XJ contributed equally to this work as co-first authors.
Informed consent statement: Written informed consent was obtained from the patient to publish this paper.
Conflict-of-interest statement: The authors declare having no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ya-Ming Zhang, Doctor, MD, PhD, Chief Physician, Professor, Department of General Surgery, Anqing Municipal Hospital, No. 352 Renmin Road, Anqing 246000, Anhui Province, China. zhangyaming2014@163.com
Received: July 8, 2024
Revised: August 22, 2024
Accepted: August 29, 2024
Published online: October 27, 2024
Processing time: 82 Days and 1.1 Hours
Core Tip

Core Tip: In this case, a 67-year-old female was admitted to the hospital due to abdominal distension and pain. The initial diagnosis was acute gastric torsion accompanied by free gas in the abdominal cavity. This makes it easy for us to determine the presence of gastric perforation. However, the patient's physical examination and abdominal computed tomography (CT) scan did not support the diagnosis of gastric perforation. After endoscopic reduction of gastric torsion, we found that the patient also had a colonic gas cyst after reexamination via CT. This is a rare case that has not been reported before.