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Laparoscopic gastropexy for gastric volvulus in high-operative-risk patients

from Medscape (free login required)

An 86-year-old woman presents to the emergency department with a 3-day history of abdominal pain associated with postprandial emesis without nausea. She has not tolerated solids since the onset of her symptoms. Prior medical history includes hypertension and deep venous thrombosis, for which she takes warfarin. She was noted to be tachycardic, and physical exam reveals tenderness in the epigastrium without rebound or involuntary guarding. more

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