# Gastric Volvulus, Pancreatic Volvulus, and Wandering Spleen: A Rare Emergency Triad Behind Acute Abdomen

## TL;DR

This paper discusses a rare combination of three serious abdominal conditions that require urgent diagnosis and treatment.

## Contribution

The paper presents two cases of a rare triad involving gastric, pancreatic volvulus, and wandering spleen.

## Key findings

- The triad includes gastric volvulus, pancreatic volvulus, and wandering spleen, which are rarely seen together.
- Prompt diagnosis using advanced radiologic techniques is crucial to prevent severe complications.
- Multidisciplinary management is essential for treating this rare and complex condition.

## Abstract

Gastric volvulus is a rare but serious gastrointestinal disorder that can lead to obstructive complications, necessitating prompt diagnosis and management. Rarely, gastric volvulus coexists with scare conditions like pancreatic volvulus and wandering spleen as a triad, further complicating clinical management. Although the primary presentation is acute and severe abdominal pain, other findings may exist, including nausea, bilious vomiting, fever and chills, leukocytosis, and elevated liver or pancreatic enzymes. The diagnosis is usually confirmed by advanced radiologic techniques, mainly abdominal computed tomography scans. Early recognition and timely surgical correction are essential to prevent severe complications such as ischemia and necrosis. This paper presents two cases of gastric volvulus with pancreatic volvulus and wandering spleen, highlighting the importance of radiologic awareness and multidisciplinary management in such rare presentations.

Coronal and 3D reconstruction illustrating the rare triad of gastric volvulus, pancreatic volvulus, and wandering spleen, highlighting abnormal organ positions and the importance of prompt diagnosis and surgical intervention in acute abdomen.