Cezar – Gastric Torsion 9 years old German Shepherd Dog Cezar was presented in our surgery as an emergency few minutes after midnight. The owners told us that Cezar had digestive problems in last few days: he was vomiting and having diarrhoea. Just before they brought Cezar to us, the owners noticed that Cezar was trying to vomit but without any success. He was also very depressed and his abdomen was distended. By each passing minute Cezar was looking worse and worse. Straight after seeing Cezar and after short clinical examination we suspected that Cezar had GDV – Gastric Volvulus and Dilatation Syndrome. This is a very serious, life-threatening condition with a high mortality rate if the treatment is not appropriate or in time. Cezar was given IV fluids and anti-shock treatment without hesitation. To confirm the diagnosis of GDV we needed an x-ray examination of Cezar's abdomen. The x-ray findings confirmed the diagnosis of GDV Cezar needed a life-saving surgical procedure immediately as more then three hours had passed from the appearance of initial symptoms. The owners were informed about Cezar's critical situation and about potentially life-saving surgical procedure. They agreed to allow us to operate Cezar straight away. Cezar was urgently prepared for the surgery and transferred to the operating theatre. In emergency situation like this one it is of a crucial importance to have a standard working protocol known and accepted by all personnel in the surgery. It enables quick and efficient approach to high risk patients. The essence of the surgical procedure is to move the rotated stomach back into its normal position and to fix it in that position. By fixing the stomach we prevent relapses of this dangerous condition in the future.     Dilated and rotated stomach after the abdominal cavity was opened     Removed countenance from the stomach The additional complication in this case was a big tumour located on enteric mesenterium. It was necessary to remove it. The removal of the tumour made this procedure more complicated and prolonged the time of the surgery.     Tumour on the enteric mesenterim as an accidental finding during the surgery     Removed tumour The operation lasted for 40 minutes and after it was finished Cezar was closely monitored for any pathological signs, especially those of cardio-respiratory system failure. It was also important to closely control whole postoperative period of Cezar as some complications of GDV can appear even 72 hours after the surgery. After Cezar was discharged from the clinic his owners got detailed instructions about further treatment and postoperative care. Thanks to devoted care and patience of Cezar's owners, Cezar slowly got better and in two weeks time he was almost completely recovered. Cezar's owners have to pay special attention to his diet regime in the future but the old guy Cezar deserves it for sure!