Mesenteroaxial gastric volvulus on upper GI study and computed tomography

This 64-year-old male presented with medication-resistant gastroesophageal reflux disease. Mesenteroaxial gastric volvulus is noted on a barium swallow fluoroscopic examination (A). The distal esophagus (arrow) is in normal position. The antrum of the stomach (A and B, small arrowhead) has rotated 180 degrees in a cranial direction and the fundus is positioned caudally (A, large arrowhead). The mesenteroaxial volvulus is shown on reformatted CT study. A follow-up barium swallow fluoroscopic examination shows normal anatomic positioning of the stomach after the patient underwent fundoplication and gastropexy (C).