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Medicine

Pathophysiology of Gastric Volvulus and Surgical Decompression

Quick fact

Gastric volvulus presents with the classic Borchardt triad—severe epigastric pain, retching without vomiting, and inability to pass a nasogastric tube—and can be fatal within hours if decompression is delayed.

Why this is interesting

The stomach normally stays put, but what happens when it flips upside down inside your chest? A twist no bigger than a knot can cut off its blood supply and turn a simple meal into a surgical emergency.