PMC7438759_01
Clinical case timeline.
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Computed tomography on initial admission. (A) Frontal view. (B) Sagittal view.
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Tomography (CT) imaging showed major gastric distension reaching the pelvis and compressing the digestive organs (Figure 2) with no signs of pneumoperitoneum. Conservative gastric decompression was started first using a nasogastric tube aspiration that discharged almost 6.5 litres. Twenty-four hours after hospitalization, the patient exhibited tachycardia and hypotension.