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Previous Volume 358:1968-1969 May 1, 2008 Number 18 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: The medical mystery in the March 6 issue¹ involved an 82-year-old woman who presented with respiratory symptoms and then, 6 years later, presented with epigastric pain, nausea, and vomiting. During her first visit, an intrathoracic stomach and an asymptomatic partial gastric volvulus (Panel A, arrows) were diagnosed. The patient refused any intervention at that time. She remained asymptomatic until she presented with the epigastric pain, nausea, and vomiting. An upper endoscopic study showed twisting of gastric folds, and the endoscope could not be advanced beyond 5 cm from the gastroesophageal junction. A barium study (. . . [Full Text of this Article]

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