Delayed diaphragmatic rupture presenting with acute gastric volvulus

Gastric 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 tr...

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Veröffentlicht in:Annals of the Royal College of Surgeons of England 2014-10, Vol.96 (7), p.e17-e19
Hauptverfasser: Williamson, J M L, Macleod, R, Hollowood, A
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container_title Annals of the Royal College of Surgeons of England
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creator Williamson, J M L
Macleod, R
Hollowood, A
description Gastric 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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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. 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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Abdomen
Acute Disease
Aged, 80 and over
Cardiopulmonary resuscitation
CPR
Diagnosis, Differential
Fatal Outcome
Hernia, Diaphragmatic - diagnosis
Hernia, Diaphragmatic - diagnostic imaging
Hernias
Humans
Laparoscopy
Male
Metabolism
Online Case report
Out-of-Hospital Cardiac Arrest
Radiography
Radiography, Thoracic - methods
Rupture, Spontaneous - diagnosis
Stomach
Stomach Volvulus - diagnosis
Stomach Volvulus - diagnostic imaging
Tomography
Tomography, X-Ray Computed - methods
title Delayed diaphragmatic rupture presenting with acute gastric volvulus
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