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Gastric volvulus suspected by POCUS finding in the emergency department
  1. Yuya Kitai1,
  2. Ryota Sato2 and
  3. Tetsuya Inoue1
  1. 1Emergency department, Nerima Hikarigaoka Hospital, Nerima-ku, Tokyo, Japan
  2. 2Critical Care Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, Ohio, USA
  1. Correspondence to Dr Yuya Kitai; y.kitai1112{at}


We described a case of a man in his 90s with gastric volvulus of which point-of-care ultrasound (POCUS) contributed to a rapid diagnosis. The patient had Borchardt’s triad and POCUS showed a distended and fluid-filled stomach, which allowed us to strongly suspect gastric volvulus even prior to the abdominal CT scan. Gastric volvulus is a rare but life-threatening condition that may lead to tissue ischaemia and perforation. Therefore, a prompt diagnosis is extremely important. This case suggests that POCUS can be a powerful tool when clinicians suspect gastric volvulus.

  • ultrasonography
  • emergency medicine

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  • Contributors YK is responsible for the conception of this case report, writing of the draft and critical revision of the manuscript. RS substantially contributed to drafting and revising the manuscript. TI supervised drafting and revising the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.