Strangulated gastric volvulus: an unusual cause of cardiac compression resulting in electromechanical dissociation

A 50 year old man was admitted with severe epigastric pain. He had previously had an open Heller's cardiomyotomy for achalasia. Subsequent investigations for persisting dyspepsia had demonstrated a rolling hiatus hernia. He was tachycardic and hypotensive, with a raised jugular venous pressure. His chest radiograph showed bowel loops within …