Duchenne muscular dystrophy (DMD) is an X-linked hereditary disease characterized by a structural defect in dystrophin, affecting muscle cells, leading to their progressive degeneration. Gastrointestinal manifestations are uncommon but can contribute to significant morbidity and mortality. Acute gastric dilatation is a rare clinical entity and the most severe complication of this spectrum. We present the case of a 16-year-old male patient with DMD who developed acute gastric dilatation, managed with decompression via nasogastric tube, intravenous fluids, and prokinetics, resulting in clinical improvement.