TY - JOUR T1 - Delayed diaphragmatic rupture presenting with acute gastric volvulus. AU - Williamson,J M L, AU - Macleod,R, AU - Hollowood,A, PY - 2014/9/24/entrez PY - 2014/9/24/pubmed PY - 2014/12/15/medline SP - e17 EP - 9 JF - Annals of the Royal College of Surgeons of England JO - Ann R Coll Surg Engl VL - 96 IS - 7 N2 - Gastric volvulus is a rare complication of diaphragmatic rupture. We report the case of an 82-year-old man who presented following an out-of-hospital cardiac arrest. Chest radiography and thoracic computed tomography revealed an acute gastric volvulus and a chronic diaphragmatic hernia containing transverse colon and abdominal viscera. He had complained of retching and associated epigastric pain prior to collapse, and had sustained a motorcycle accident approximately 60 years earlier. Insertion of a nasogastric tube was unsuccessful (completing Borchardt's diagnostic triad) and his condition prevented both operative and endoscopic reduction of his volvulus. He died soon afterwards. SN - 1478-7083 UR - https://www.unboundmedicine.com/medline/citation/25245717/Delayed_diaphragmatic_rupture_presenting_with_acute_gastric_volvulus_ DB - PRIME DP - Unbound Medicine ER -