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BMJ Case Reports 2018; doi:10.1136/bcr-2018-225556
  • Images in…

Acute gastric volvulus presenting as a pseudo cardiac tamponade

  1. Gloria Sampériz
  1. Infectious Diseases, Hospital Universitari Son Espases, Palma de Mallorca, Spain
  1. Correspondence to Dr Francisco Fanjul, franciscoj.fanjul{at}ssib.es
  • Accepted 22 August 2018
  • Published 12 September 2018

Description 

Gastric volvulus is defined as rotation of the stomach or part of the stomach by more than 180°, creating a closed loop obstruction. Typically, its clinical presentation includes abdominal pain, distension, nausea and vomiting. Diagnosis requires a high suspicion index as it can be easily misdiagnosed with other abdominal problems such as stomach distension or subocclusive syndrome. CT scan has proven to be both highly sensitive and specific when differentiating these processes.1

A woman in their early 80s with no relevant …

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