Abstract：
Gastric volvulus is a rare cause of gastric obstruction, due to the rotation of the stomach by more than 180°. It is a rare but life-threatening medical emergency that is considered difficult to diagnose at the initial clinical presentation. Forensic pathologists may be presented with gastric volvulus in several ways, for instance, as a cause of sudden and unexpected death or in the context of suspected clinical errors. The post-mortem examination of gastric volvulus may be challenging, due to the specific technical issues it presents and the various mechanisms by which volvulus may cause death. We therefore present five cases of gastric volvulus that in combination represent almost the entire spectrum of presentations and post-mortem findings, to discuss how gastric volvulus may come to the attention of a forensic pathologist, the approach and findings at post-mortem examination (including post-mortem CT), and the variety of mechanisms by which gastric volvulus may result in death.
摘要：
胃扭转是胃梗阻的罕见原因，由于胃的旋转超过180°。这是一种罕见但危及生命的医疗紧急情况，在最初的临床表现中被认为很难诊断。法医病理学家可能会以几种方式出现胃扭转，例如,作为突然和意外死亡的原因或在可疑的临床错误的背景下。胃扭转的尸检可能具有挑战性，由于它提出的具体技术问题和扭转可能导致死亡的各种机制。因此，我们提出了5例胃扭转病例，它们几乎代表了整个表现和尸检结果，讨论胃扭转如何引起法医病理学家的注意，验尸(包括验尸CT)的方法和结果，以及胃扭转可能导致死亡的各种机制。
