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Late presentation of diaphragmatic hernia and gastric volvulus
  1. L Somers1,
  2. I Szeki2,
  3. D Hulbert3
  1. 1Accident and Emergency Medicine Department, Lewisham Hospital, London
  2. 2Department of Neurology, Newcastle General Hospital
  3. 3Accident and Emergency Department, West Middlesex University Hospital, Twickenham Road, Isleworth, Middlesex TW7 6AF
  1. Correspondence to: Miss Hulbert, Consultant in Accident and Emergency (e-mail: julia.hardy{at}

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A 58 year old woman presented with a three week history of increasing epigastric pain and nausea. Her past medical history included a road traffic accident six years previously when she sustained fractures through the superior and inferior left pubic rami. Chest radiography showed a dilated gastric shadow with a fluid level (fig 1).

A …

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