Year 2015 / Volume 107 / Number 3
Digestive Diseases Image
Acute gastric volvulus: A case report

173-174

María Pilar Guillén-Paredes y José Luis Pardo-García

Abstract
An 87-year-old female patient, with previous history of high blood pressure, came to the Emergency Department with complaints of intensive abdominal pain in the last 24 hours, associated with nausea without vomiting. Physical examination determined blood pressure: 120/60 mmHg, heart rate: 110/min, none diuresis, abdominal distension and epigastric pain without signs of peritonitis. Lab report: 12.900 leukocytes/µL (90 % neutrophils), creatinine level: 3 mg/dL, urea level: 90 mg/dL. A nasogastric tube was inserted and abundant gas was obtained through it. Thorax and abdomen radiography scan were made (Figs. 1 and 2). A CT-scan was also performed (Fig. 3). This patient underwent an emergency laparotomy and a complete gastric necrosis was found (Fig. 4). A total gastrectomy was initiated but the patient suffered an intraoperatory cardiac arrest. Finally, the patient died in spite of cardiopulmonary reanimation.
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19/03/2015 12:19:05
Creo que se debería de rectificar el texto del pie de la figura 1. No se observa hernia hiatal ya que la gran distensión gástrica es claramente infradiafragmática.


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