{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T07:12:37Z","timestamp":1768461157381,"version":"3.49.0"},"reference-count":19,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,2,21]]},"abstract":"<jats:p>A woman aged 67 years attended the emergency department with acute abdominal and back pain of 1-day duration with associated vomiting. The patient had multiorgan failure. Resuscitation was started with intravenous fluids and vasopressors. An abdominal CT scan was completed which confirmed the diagnosis of acute gastric volvulus. The patient was successfully resuscitated from a cardiorespiratory arrest during transfer to the operating theatre. The patient subsequently underwent a total gastrectomy with stapling of the oesophageal and duodenal stumps. The abdomen was packed and left open as a laparostomy with a planned relook 48\u2005hours later was to be performed. Unfortunately, the patient continued to deteriorate postoperatively in the intensive care unit despite maximum organ support for multiorgan failure. A decision was made to withdraw treatment and the patient died 10\u2005hours postoperative. This case illustrates the presentation of acute gastric volvulus at a late stage and the high mortality rate associated with it.<\/jats:p>","DOI":"10.1136\/bcr-2016-217708","type":"journal-article","created":{"date-parts":[[2017,3,8]],"date-time":"2017-03-08T11:00:22Z","timestamp":1488970822000},"page":"bcr2016217708","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Gastric volvulus: a potentially fatal cause of acute abdominal pain"],"prefix":"10.1136","volume":"2017","author":[{"given":"A","family":"Sleiwah","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery, NIMDTA, Belfast, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Western Trust, Enniskillen, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Crawford","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, South West Acute Hospital, Enniskillen, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Stanek","sequence":"additional","affiliation":[{"name":"Department of General Surgery, South West Acute Hospital, Enniskillen, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,3,8]]},"reference":[{"key":"2025082722575903000_2017.mar08_2.bcr2016217708.1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(68)90194-3"},{"key":"2025082722575903000_2017.mar08_2.bcr2016217708.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(40)90368-3"},{"key":"2025082722575903000_2017.mar08_2.bcr2016217708.3","unstructured":"Hope W . 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