Background: Acute gastric volvulus is a rare condition that can cause significant morbidity and mortality. The presenting complaint is usually due to symptoms related to gastric outlet obstruction, which might include abdominal pain, nausea and vomiting, bowel obstruction, and even perforation or peritonitis. Case Presentation: A case of acute gastric volvulus was presented in a 78-years-old woman with a complaint of epigastric pain. The patient presented with sudden onset of abdominal pain and vomiting. She was diagnosed with acute gastric volvulus on abdominal imaging and was successfully treated with laparoscopic surgery. Conclusion: This case highlighted the importance of considering gastric volvulus in the differential diagnosis of acute abdominal pain, especially in patients with underlying risk factors.

Keywords: Gastric volvulus, emergency department, abdominal pain, elderly, case report.