With 0.6 seconds to go, Kim Mestdagh missed the jumper which could be a buzzer beater as the regular time expired.
The neck-to-neck contention continued in overtime, as Himawari Akaho converted one of two free throws to earn Japan a two-point lead. Mestdagh, who scored 23 for Belgium, saw her desperate jumper blocked.
Maki Takada had a game-high 26 points for Japan. Yuki Miyazawa added 21 and finished the game-winning block in overtime.
Hosts Spain beat Puerto Rico 78-53 thanks to Astou Ndour's 22 points, and rank first in the group with two wins from two.
After finishing with 34 points and 12 rebounds in Saturday's opener, Liz Cambage once again showed her dominance in paint field, as her 24 points in less than 18 minutes handed Australia an overwhelming 84-43 win over Argentina.
Powering to a 10-0 start after the tip-off, Australia never seemed threatened by Argentina throughout the match.
The other Group B match saw Nigeria down Turkey 74-68. Both teams record 1-1 after two matches.
Canada celebrated their second straight victory after breezing past South Korea 82-63. France got past Greece 75-71.
Canada and France will contend for Group A's top position in their final round duel.
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