Gastric volvulus suspected by POCUS finding in the emergency department. Issue 8 (19th August 2022)

• Record Type: Journal Article
• Authors: Kitai, Yuya; Sato, Ryota; Inoue, Tetsuya
• Is Part Of: BMJ case reports. Volume 15:Issue 8(2022)
• Publication Date: 2022-08-19
• Subjects: ultrasonography -- emergency medicine; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2022-250659
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : 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.