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Ann R Coll Surg Engl · Oct 2014
Case ReportsDelayed diaphragmatic rupture presenting with acute gastric volvulus.
- J M L Williamson, R Macleod, and A Hollowood.
- University Hospitals Bristol NHS Foundation Trust, UK.
- Ann R Coll Surg Engl. 2014 Oct 1;96(7):e17-9.
AbstractGastric volvulus is a rare complication of diaphragmatic rupture. We report the case of an 82-year-old man who presented following an out-of-hospital cardiac arrest. Chest radiography and thoracic computed tomography revealed an acute gastric volvulus and a chronic diaphragmatic hernia containing transverse colon and abdominal viscera. He had complained of retching and associated epigastric pain prior to collapse, and had sustained a motorcycle accident approximately 60 years earlier. Insertion of a nasogastric tube was unsuccessful (completing Borchardt's diagnostic triad) and his condition prevented both operative and endoscopic reduction of his volvulus. He died soon afterwards.
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