PMID- 36968880
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230328
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 15
IP  - 2
DP  - 2023 Feb
TI  - Volvulus Irritating the Myocardium: A Case Report.
PG  - e35256
LID - 10.7759/cureus.35256 [doi]
LID - e35256
AB  - Gastric volvulus is a rare condition that may present with various symptoms and 
      may occur as an acute or chronic condition. Signs and symptoms may include 
      nausea, vomiting, abdominal pain, and chest pain. It is imperative to recognize 
      acute gastric volvulus in a timely fashion, since a delay in diagnosis may result 
      in foregut obstruction and increased risk of strangulation, if not recognized and 
      treated promptly. Additionally, secondary complications that are equally 
      life-threatening, such as cardiac arrhythmias, can occur. For this very reason, 
      it is important to highlight gastric volvulus as a possibility when developing a 
      differential diagnosis in patients complaining of abdominal pain. This case 
      report describes a 73-year-old female with no past cardiac risk factors, who 
      presented to the emergency department (ED) with symptoms of supraventricular 
      tachycardia (SVT), intermittent diarrhea, and nausea per emergency medical 
      services (EMS). Upon EMS arrival at the patient's home, her heart rate was 210 
      beats per minute (bpm). Despite her condition appearing to result from a cardiac 
      condition, imaging studies found a large hiatal hernia through which the stomach 
      had displaced. The patient's stomach had distended, forming a volvulus and 
      placing pressure on thoracic organs. This case highlights a rare but potentially 
      life-threatening cardiac arrhythmia associated with gastric volvulus.
CI  - Copyright (c) 2023, Huycke et al.
FAU - Huycke, Elizabeth M
AU  - Huycke EM
AD  - Department of Emergency and Hospital Medicine, University of South Florida 
      Morsani College of Medicine/Lehigh Valley Health Network Campus, Allentown, USA.
FAU - Tom, Suzanna S
AU  - Tom SS
AD  - Department of Emergency and Hospital Medicine, University of South Florida 
      Morsani College of Medicine/Lehigh Valley Health Network Campus, Allentown, USA.
FAU - Wezza, Alya
AU  - Wezza A
AD  - Department of Emergency and Hospital Medicine, University of South Florida 
      Morsani College of Medicine/Lehigh Valley Health Network Campus, Allentown, USA.
FAU - Barr, Gavin C Jr
AU  - Barr GC Jr
AD  - Department of Emergency and Hospital Medicine, University of South Florida 
      Morsani College of Medicine/Lehigh Valley Health Network Campus, Allentown, USA.
LA  - eng
PT  - Case Reports
DEP - 20230221
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC10038688
OTO - NOTNLM
OT  - gastric volvulus
OT  - myocardium
OT  - organoaxial volvulus
OT  - tachyarrhythmia
OT  - tachycardia
OT  - ventricular arrhythmia
COIS- The authors have declared that no competing interests exist.
EDAT- 2023/03/28 06:00
MHDA- 2023/03/28 06:01
PMCR- 2023/02/21
CRDT- 2023/03/27 03:31
PHST- 2022/12/20 00:00 [received]
PHST- 2023/02/20 00:00 [accepted]
PHST- 2023/03/27 03:31 [entrez]
PHST- 2023/03/28 06:00 [pubmed]
PHST- 2023/03/28 06:01 [medline]
PHST- 2023/02/21 00:00 [pmc-release]
AID - 10.7759/cureus.35256 [doi]
PST - epublish
SO  - Cureus. 2023 Feb 21;15(2):e35256. doi: 10.7759/cureus.35256. eCollection 2023 
      Feb.