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Gastric Volvulus:  Special Reference to Hepatodiaphragmatic Interposition of Colon

STANFORD W. ASCHERMAN, MC; WALLACE W. BEDNARZ, MC; MELVIN L. OLIX, MC
AMA Arch Surg. 1958;76(4):621-629. doi:10.1001/archsurg.1958.01280220141029.
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Gastric volvulus has been recognized for many years, and present-day knowledge of the essential features of this condition has been summarized by many authors.1-6 The purpose of this presentation is to discuss certain unusual aspects of gastric volvulus which have come to our attention recently.

Gastric volvulus is an abnormal rotation of a portion of the stomach, either on its coronal or on its sagittal axis (Figs. 1, 2, and 3). Most cases of complete volvulus of the stomach may be associated with a pronounced degree of gastroptosis combined with a congenital lengthening of the gastrohepatic omentum and gastrocolic ligament. Normally, the gastrophrenic, diaphragmaticophrenic, and gastrolienal ligaments are sufficiently firm and strong in their normal positions that they anchor and support the upper portion of the fundus of the stomach, as well as the splenic flexure of the colon, in such a position as to prevent any extreme torsion.

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