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International Journal of Emergency Medicine
Published in: International Journal of Emergency Medicine 1/2010

Open Access 01-03-2010 | Clinical Images

Severe abdominal pain as a result of acute gastric volvulus

Authors: Stylianos Germanos, Stavros Gourgiotis, Mahmud Saedon, Dimitrios Lapatsanis, Nikolaos S. Salemis

Published in: International Journal of Emergency Medicine | Issue 1/2010

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Excerpt

A 62-year-old male was admitted due to acute severe upper abdominal pain. His medical history included conservatively treated paraesophageal hernia. Abdominal examination revealed upper abdomen tenderness. Difficulty in passing a nasogastric tube was observed. Chest X-ray showed a diaphragmatic hernia and Gastrografin swallow demonstrated an “upside-down stomach” as a result of organoaxial gastric volvulus (Figs. 1 and 2). Gastric ischemia could not be ruled out and the decision was made for surgical intervention. …
Literature
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Gourgiotis S, Vougas V, Germanos S et al (2006) Acute gastric volvulus: diagnosis and management over 10 years. Dig Surg 23:169–172PubMedCrossRef
2.
Borchardt M (1904) Zur Pathologie und Therapie des Magenvolvulus. Arch Klin Chir 74:243–260
3.
Schiano di Visconte M, Barbaresco S, Burelli P et al (2002) Acute abdomen due to a strangulated and perforated para-esophageal hernia (in Italian). A case report. Chir Ital 54:563–567PubMed
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Kram M, Gorenstein L, Eisen D et al (2000) Acute esophageal necrosis associated with gastric volvulus. Gastrointest Endosc 51:610–612PubMedCrossRef
5.
Bawahab M, Mitchell P, Church N et al (2009) Management of acute paraesophageal hernia. Surg Endosc 23:255–259PubMedCrossRef
Metadata
Title
Severe abdominal pain as a result of acute gastric volvulus
Authors
Stylianos Germanos
Stavros Gourgiotis
Mahmud Saedon
Dimitrios Lapatsanis
Nikolaos S. Salemis
Publication date
01-03-2010
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Emergency Medicine / Issue 1/2010
Print ISSN: 1865-1372
Electronic ISSN: 1865-1380
DOI
https://doi.org/10.1007/s12245-009-0136-5

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