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Case Reports in Critical Care
Volume 2017, Article ID 9403601, 3 pages
Case Report

Acute Gastric Volvulus and Atrial Fibrillation with RVR: A Coincidence or Association

1Internal Medicine Department, Texas Tech University Health Sciences Center, 1400 S. Coulter, Amarillo, TX 79106, USA
2Internal Medicine Department, Texas Tech University Health Sciences Center, Amarillo, TX, USA

Correspondence should be addressed to Omar Nadhem; moc.liamg@28mehdanramo

Received 6 January 2017; Accepted 2 March 2017; Published 8 March 2017

Academic Editor: Joel Starkopf

Copyright © 2017 Omar Nadhem et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Gastric volvulus is a rare and life-threatening condition that involves the abnormal rotation of the stomach around its axis by more than 180°. The association between acute gastric volvulus and atrial fibrillation with rapid ventricular response is rare with only few cases that have been reported. Our patient was an 86-year-old female who presented with upper abdominal pain, distension, nausea, and shortness of breath. Clinical and laboratory workup revealed acute gastric volvulus with diaphragmatic hernia. On presentation, she was also in atrial fibrillation with rapid ventricular response. She was successfully treated by laparotomy with reduction of the gastric volvulus and repair of the diaphragmatic hernia, with significant improvement.