{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T12:58:06Z","timestamp":1762001886454,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,5,1]]},"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:p>An 8-year-old boy with a history of multiple neonatal laparotomies, including congenital diaphragmatic hernia repair and an open fundoplication, presented acutely with severe abdominal pain, distension, vomiting and shock. A large abnormal opacity in the left upper quadrant was visible on a plain abdominal radiograph. The patient was taken to the theatre for emergency laparotomy and was found to have a massively distended stomach, the fundus and body of which were necrotic. A subtotal gastrectomy was performed, sparing the viable tissue. The patient went on to make a full recovery. Acute massive gastric dilatation (AMGD) is a rare condition characterised by severe gastric distension. Gastric ischaemia results when intragastric pressure exceeds venous pressure, obstructing venous outflow. It is important to recognise AMGD as a severe complication of fundoplication due to closed-loop gastric obstruction. It should prompt consideration of an early laparotomy in cases where the diagnosis is suspected.<\/jats:p>","DOI":"10.1136\/bcr-2019-232479","type":"journal-article","created":{"date-parts":[[2020,5,28]],"date-time":"2020-05-28T06:25:24Z","timestamp":1590647124000},"page":"e232479","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Acute massive gastric dilatation: a rare, forgotten complication of fundoplication"],"prefix":"10.1136","volume":"13","author":[{"given":"Sue Een","family":"Lau","sequence":"first","affiliation":[{"name":"University of Nottingham Medical School, Queen's Medical Centre, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tristan","family":"Boam","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Norfolk and Norwich University Hospital NHS Trust, Norwich, UK"},{"name":"Department of Paediatric Surgery, Nottingham University Hospital NHS Trust, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Parsons","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Nottingham University Hospital NHS Trust, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandeep","family":"Motiwale","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Nottingham University Hospital NHS Trust, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,5,27]]},"reference":[{"key":"2025082723285717000_13.5.e232479.1","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2017-221158","article-title":"Gastric necrosis and perforation in a patient with Asperger's syndrome","volume":"2017","author":"Hicks","year":"2017","journal-title":"BMJ Case Rep"},{"key":"2025082723285717000_13.5.e232479.2","doi-asserted-by":"crossref","first-page":"185","DOI":"10.5230\/jgc.2011.11.3.185","article-title":"Acute gastric necrosis due to gastric outlet obstruction accompanied with gastric cancer and Trichophytobezoar","volume":"11","author":"Lee","year":"2011","journal-title":"J Gastric Cancer"},{"key":"2025082723285717000_13.5.e232479.3","doi-asserted-by":"crossref","unstructured":"Allaparthi SB , Anand CP . 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