Gastric ischaemia following a fall
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Updated: May 21, 2026

Gastric Point of Care Ultrasound in Adults: Image Acquisition and Interpretation
Published on: September 22, 2023
Michael John Dunne1, Irina Ferreira, Ben Thorpe
1Department of General Surgery, Kent and Sussex Hospital, Tunbridge Wells, UK. mikedunne@doctors.org.uk
Abstract:
A previously well 73-year-old gentleman presented 5 days after a fall from 6 feet from a ladder with abdominal pain and vomiting. X-rays demonstrated evidence of bowel perforation. On arrival, the patient was peritonitic and displayed a severely septic picture. He was subsequently taken for emergency laparotomy. A 5 mm perforation was found in the small bowel which was repaired but unusually a large segment in the fundus and greater curvature of the stomach was found to be necrotic. A partial gastrectomy was performed and histology confirmed ischaemia likely to be secondary to trauma. The patient has now been successfully discharged home.
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