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Gastric volvulus is a rare disease that can be fatal if misdiagnosed or if treatment is delayed. We present the case of a 94-year-old woman who visited our emergency department with classic symptoms of Borchardt's triad (severe epigastric pain, intractable retching, and inability to pass a nasogastric tube). Chest plain radiography revealed an air-fluid level appearance superposed with the cardiac contour. Contrast-enhanced abdominal computed tomography revealed mesenteroaxial gastric volvulus with hiatal hernia of the stomach. The patient underwent surgery and recovered well. Herein, we present the case findings and perform a literature review on gastric volvulus.