# Coexisting Organoaxial Gastric Volvulus and Sigmoid Volvulus With Complications

## TL;DR

This case report describes a rare instance of two types of volvulus in an elderly man and the complications that arose during treatment.

## Contribution

The paper presents a rare case of coexisting organoaxial gastric and sigmoid volvulus with postoperative complications.

## Key findings

- The patient was successfully treated for sigmoid volvulus via flexible sigmoidoscopy and decompression.
- Laparoscopic anterior gastropexy for gastric volvulus led to rare complications of bleeding and ischemia.
- The case highlights the importance of recognizing rare complications in uncommon pathologies.

## Abstract

Very few cases of coexisting organoaxial gastric and sigmoid volvuli have been reported. In here we describe 1 such case. Our patient, a 92-year-old man, was treated with a flexible sigmoidoscopy with decompression for his sigmoid volvulus. For the gastric volvulus, the patient was initially treated with an upper endoscopic gastric decompression and subsequently treated with a laparoscopic anterior gastropexy. After the gastropexy, the patient developed bleeding and ischemia of the stomach, which is a rare complication due to the stomach's rich blood supply. This case report reiterates the need to consider rare complications in patients with such rare pathologies.