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Updated: Aug 31, 2025

Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
Published on: September 22, 2023
Gastric volvulus suspected by POCUS finding in the emergency department
Yuya Kitai1, Ryota Sato2, Tetsuya Inoue3
1Emergency department, Nerima Hikarigaoka Hospital, Nerima-ku, Tokyo, Japan y.kitai1112@gmail.com.
Abstract:
We described a case of a man in his 90s with gastric volvulus of which point-of-care ultrasound (POCUS) contributed to a rapid diagnosis. The patient had Borchardt's triad and POCUS showed a distended and fluid-filled stomach, which allowed us to strongly suspect gastric volvulus even prior to the abdominal CT scan. Gastric volvulus is a rare but life-threatening condition that may lead to tissue ischaemia and perforation. Therefore, a prompt diagnosis is extremely important. This case suggests that POCUS can be a powerful tool when clinicians suspect gastric volvulus.
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