TY - JOUR T1 - Gastric ischaemia following a fall JF - BMJ Case Reports DO - 10.1136/bcr.04.2011.4139 VL - 2011 SP - bcr0420114139 AU - Michael John Dunne AU - Irina Ferreira AU - Ben Thorpe AU - Ala Ajeel AU - Haythem Ali AU - Charles Bailey Y1 - 2011/07/04 UR - http://casereports.bmj.com/content/2011/bcr.04.2011.4139.abstract N2 - A previously well 73-year-old gentleman presented 5 days after a fall from 6 feet from a ladder with abdominal pain and vomiting. X-rays demonstrated evidence of bowel perforation. On arrival, the patient was peritonitic and displayed a severely septic picture. He was subsequently taken for emergency laparotomy. A 5 mm perforation was found in the small bowel which was repaired but unusually a large segment in the fundus and greater curvature of the stomach was found to be necrotic. A partial gastrectomy was performed and histology confirmed ischaemia likely to be secondary to trauma. The patient has now been successfully discharged home. ER -