Emergency Physician-Performed Bedside Ultrasound of Gastric Volvulus

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.

[1]  F. Senatore,et al.  Epigastric Pain due to Acute Gastric Volvulus. , 2019, The Journal of emergency medicine.

[2]  Constantine A Raptis,et al.  CT of Gastric Volvulus: Interobserver Reliability, Radiologists' Accuracy, and Imaging Findings. , 2019, AJR. American journal of roentgenology.

[3]  Z. Bauman,et al.  Volvulus. , 2018, The Surgical clinics of North America.

[4]  M. Nelson,et al.  The “Black-and-White Cookie” Sign – A Case Series of a Novel Ultrasonographic Sign in Gastric Outlet Obstruction , 2018, Clinical practice and cases in emergency medicine.

[5]  B. Long,et al.  Male With Sudden Onset Abdominal Pain. , 2017, Journal of Emergency Medicine.

[6]  M. Gottlieb,et al.  Utilization of ultrasound for the evaluation of small bowel obstruction: A systematic review and meta‐analysis , 2017, The American journal of emergency medicine.

[7]  M. Gottlieb,et al.  Identification of gastric outlet obstruction using point-of-care ultrasound. , 2017, The American journal of emergency medicine.

[8]  Keng-yu Chuang,et al.  “A Large Hiatal Hernia”: Atypical Presentation of Gastric Volvulus , 2016, Clinical practice and cases in emergency medicine.

[9]  D. Links,et al.  The threatened stomach: management of the acute gastric volvulus , 2016, Surgical Endoscopy.

[10]  R. Ghosh,et al.  Gastric volvulus: an easily missed diagnosis of chest pain in the emergency room , 2016, BMJ Case Reports.

[11]  P. Taourel,et al.  Computed tomography findings of acute gastric volvulus , 2014, European Radiology.

[12]  S. Akhtar,et al.  CORD-AEUS: consensus document for the emergency ultrasound milestone project. , 2013, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[13]  C. Emerson,et al.  The best way to a woman's heart? , 2010, Emergency Medicine Journal.

[14]  S. Dufel,et al.  Gastric volvulus , 2007, Emergency Medicine Journal.

[15]  P. Devitt,et al.  Changing patterns in the management of gastric volvulus over 14 years , 2000, The British journal of surgery.

[16]  U. Mossallam,et al.  Gastric volvulus: case report and review of the literature. , 1999, The Journal of emergency medicine.

[17]  F. Rashid,et al.  A review article on gastric volvulus: a challenge to diagnosis and management. , 2010, International journal of surgery.

[18]  Yu-Che Chang,et al.  Acute gastric volvulus: a rare but real surgical emergency. , 2010, The American journal of emergency medicine.

[19]  D. Tanen.  Acute gastric volvulus: a case report. , 1999, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.