| Summary: | ABSTRACT Gastric volvulus is a rare but serious gastrointestinal disorder that can lead to obstructive complications, necessitating prompt diagnosis and management. Rarely, gastric volvulus coexists with scare conditions like pancreatic volvulus and wandering spleen as a triad, further complicating clinical management. Although the primary presentation is acute and severe abdominal pain, other findings may exist, including nausea, bilious vomiting, fever and chills, leukocytosis, and elevated liver or pancreatic enzymes. The diagnosis is usually confirmed by advanced radiologic techniques, mainly abdominal computed tomography scans. Early recognition and timely surgical correction are essential to prevent severe complications such as ischemia and necrosis. This paper presents two cases of gastric volvulus with pancreatic volvulus and wandering spleen, highlighting the importance of radiologic awareness and multidisciplinary management in such rare presentations.
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