Abstract
Gastric volvulus is a rare surgical emergency characterized by the rotation of the stomach by more than 180° along one of its axes, which can result in significant upper gastrointestinal obstruction. If not promptly treated, it can lead to severe complications and carries a considerable risk of morbidity and mortality. Clinically, patients typically present with epigastric pain, nausea, and vomiting of gastrointestinal contents. Diagnosis is primarily based on the patient's history and clinical presentation, with confirmation through imaging studies. Definitive treatment is surgical. We report the case of a 74-year-old male who presented to the emergency department with a 48-hour history of intestinal obstruction. Imaging confirmed a mesenteroaxial gastric volvulus, which required emergency surgical intervention. The patient had an uneventful postoperative recovery.