Dilated Fluid Filled Stomach with Respiratory Variation on POCUS

Here is the story... Young patient with rapidly progressive systemic sclerosis. Anasarca. Known gastroparesis and esophagitis. In ICU for shock. I was looking for a subcostal 4-chamber view (transducer at midline, US beam pointing to the left).

What you see it is a massively dilated stomach with gastric content. The swirling and the to-fro seen beside aorta, I believe it is fluid-air content moving from stomach to the esophagus during breaths (patient developed ARDS). We inserted a large NGT with drainage of 1.7 L!

alberto.goffi @GoffiAlberto

#Dilated #Stomach #Gastric #POCUS #clinical #ultrasound 
Contributed by

Dr. Gerald Diaz
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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