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Thoracoabdominal radiographs (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) showed gastric dilatation. Nasogastric tube placement was impossible. A CT scan (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B) suggested mesenteric-axial gastric volvulus. The patient suddenly presented abdominal pain and hemodynamic shock. Laparotomy was performed, revealing hemoperitoneum, large gastric dilation with wall serosa loss, but no signs of ischemia; a mesenteric tear was observed at the transverse mesocolon, with ischemia and splenic laceration showing active bleeding. We performed decompressive gastrotomy, devolvulation and reduction of the stomach incarcerated in a hiatal hernia by sliding; segmental resection of the transverse colon, splenectomy and simple suture of the gastric serosal injury. Twelve hours later, second-look surgery revealed gastric, right colon and ileal ischemia (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C), and total gastrectomy, ileal resection and ascending colon resection were performed.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Diagnosis</span>: incarcerated mesenteric-axial gastric volvulus.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Merichal M, Tur J, Melé J, Olsina JJ. Abdomen agudo con hemoperitoneo, manifestación poco frecuente del vólvulo gástrico. Cir Esp. 2020;98:160.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 788 "Ancho" => 903 "Tamanyo" => 132948 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735077/0000009800000003/v1_202004121622/S2173507720300351/v1_202004121622/en/main.assets" "Apartado" => array:4 [ "identificador" => "15075" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Image of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735077/0000009800000003/v1_202004121622/S2173507720300351/v1_202004121622/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507720300351?idApp=UINPBA00004N" ]
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