Basu, SomprakasPratap, ArvindBhartiya, Satyanam KumarShukla, Vijay Kumar2025-01-282025-01-28202311787023https://dl.bhu.ac.in/ir/handle/123456789/23240Gastric volvulus is an uncommon clinical condition with the potentially life-threatening complication of acute gastric necrosis. A wandering spleen may also be associated with gastric volvulus and can produce a diagnostic dilemma as the cause of an acute abdomen. We present a case of an elderly woman who presented with acute abdominal symptoms. She did not have the classical Borchardt triad to diagnose gastric volvulus and had a coexisting wandering spleen. Although torsion and ischemia of the wandering spleen were initially thought to be the cause of acute abdomen, a subsequent contrast-enhanced CT (CECT) scan confirmed a coexistent mesenteric-axial gastric volvulus with gangrenous changes. We present this case to highlight a rare combination of pathologies, either of which can confuse the diagnosis or cause a delay in management. Early diagnosis with CECT is emphasized, and segmental resection is feasible when the rest of the viscus can be preserved. � 2023 Basu et al. This work is published and licensed by Dove Medical Press Limited.enacute abdomengastric gangrenegastric volvuluswandering spleenBook chapterhttps://doi.org/10.2147/CEG.S428679