The best way to a woman's heart?

Porter, David N; Emerson, Claire; Ward, Patricia

doi:10.1136/emj.2009.089078

Cited by 4 publications

(3 citation statements)

References 1 publication

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“…Acute GV with complete obstruction will oftentimes be recognized with the classical Borchardt’s triad of intractable retching, severe epigastric abdominal pain and distention, and difficulty or inability to pass an NGT [ 2 , 4 ]. Importantly, GV can mimic other common causes of epigastric pain, such as gastroesophageal reflux disease or peptic ulcer disease, and may even present with complaint of chest pain [ 16 , 17 ]. Our case patient notably did report epigastric pain, but did not experience any further intractable retching or vomiting during his ED course; we did experience significant difficulty with NGT insertion before it was eventually placed, suggesting an incomplete obstructive process.…”

Section: Discussionmentioning

confidence: 99%

Emergency Physician-Performed Bedside Ultrasound of Gastric Volvulus

Shokraneh¹,

Johnson²,

Cabrera³

et al. 2020

Cureus

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Gastric volvulus (GV) is a seldomly encountered life-threatening condition that necessitates rapid diagnosis in the emergency department (ED). The diagnosis of GV is traditionally established with cross-sectional imaging and/or endoscopy with surgical confirmation. The potential role of point-of-care ultrasound (POCUS) as a bedside tool to support the early identification of GV by emergency physicians (EPs) has not been thoroughly investigated. This case report describes the expeditious diagnosis and ED management of acute GV by implementing EP-performed POCUS into critical decision making.

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Section: Discussionmentioning

confidence: 99%

Emergency Physician-Performed Bedside Ultrasound of Gastric Volvulus

Shokraneh¹,

Johnson²,

Cabrera³

et al. 2020

Cureus

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“…This is the classic Bortchardt's triad. Other common symptoms include chest pain, especially postprandial pain, hemorrhage, anemia, inability to belch, fullness, and abdominal distension [25]. As with other volvulus, strangulation and ischemia may possible occur.…”

Section: Discussionmentioning

confidence: 99%

Bockdalek Hernia With Gastric Volvulus With Ischemia in An Adult: A Case Report

2017

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We present an interesting case of a 73-year-old female who presented to the emergency department (ED) with complaints of abdominal pain for the past few days. Patient admitted history of "stomach problems" for the past few years with similar attacks every 3 -4 months and attributed this to her "gallbladder". After her dinner the night before, she started experiencing intense abdominal pain, which prompted her to come to the ED for evaluation. A portable chest X-ray was acquired which showed herniation of the gas-distended stomach overlying the left lung base. CT scan with IV contrast was then performed which confirmed a left-sided diaphragmatic hernia containing the antrum of the dilated stomach but the antrum was twisted to the left of the esophagogastric (EG) junction. There was pneumatosis in the wall of the caudal aspect of the gastric body, suggestive of ischemia. The patient underwent emergent exploratory laparotomy, derotation, partial gastrectomy and gastrostomy where she was found to have an adult Bockdalek hernia on the left side. We discuss this rare case and review relevant literature.

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“…Gastric volvulus in 70% of cases presents in its classical form as the Bortchardt's triad, that is intractable retching, sudden epigastric pain and an inability to pass a nasogastric tube into the stomach [2]. Other presentations include dyspepsia, epigastric pain, dysphagia or chest pain mimicking acute coronary syndrome [6].…”

Section: Discussionmentioning

confidence: 99%