Acute Gastric Dilatation after Trauma

Cogbill, Thomas H.; Bintz, Marilu; Johnson, Joel A.; Strutt, Pamela J.

doi:10.1097/00005373-198710000-00003

Cited by 36 publications

(18 citation statements)

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“…Acute gastric dilatation is a recognised complication of abdominal surgery (1), anorexia nervosa (2), diabetic ketoacidosis (3), acute pancreatitis (4), unrecognised oesophageal intubation (5) and trauma (6). Massive gastric distension secondary to chronic duodenal stricture and antacid use is unreported.…”

Section: Discussionmentioning

confidence: 99%

“…Associated mortality is usually secondary to gastric infarction, necrosis or perforation (13–15). Post decompression gastric haemorrhage has been reported (6). However, gastric decompression was the precipitant for our patient's rapid demise.…”

Section: Discussionmentioning

confidence: 99%

“…A cute massive gastric distension is a rare occurrence which has a number of aetiologies (1–6). The sequelae include cardiogenic shock, respiratory failure, pulmonary aspiration, hypovolaemia, renal dysfunction and electrolyte imbalance (8, 10, 11).…”

mentioning

confidence: 99%

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An unusual case of massive gastric distension with catastrophic sequelae

Lewis¹,

Holbrook

Hersch³

2005

Acta Anaesthesiol Scand

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We report a case of massive gastric distension presenting with abdominal pain, shock and lower limb ischaemia. At laparotomy, gastric distension was found to be secondary to gastric outflow obstruction compounded by gas formation from antacid ingestion. Both the aorta and inferior vena cava were directly compressed by the distended stomach. This mode of presentation and combined aetiologies remain unreported. Gastric decompression resulted in profound cardiovascular compromise, multiorgan failure and eventually death.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

An unusual case of massive gastric distension with catastrophic sequelae

Lewis¹,

Holbrook

Hersch³

2005

Acta Anaesthesiol Scand

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show abstract

“…Acute gastric dilatation with infarction is recognized complication of trauma [33]. Previous reports of gastric dilatation 29,30] due to any cause (10 men, 21 women; age range, 14-91 years) are summarized in Table 2.…”

Section: Discussionmentioning

confidence: 99%

An autopsy case of sudden death due to acute gastric dilatation without rupture

Watanabe

Terazawa

Asari

et al. 2008

Forensic Science International

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“…AGD is encountered most often as a postoperative complication in abdominal surgery and in a multitude of disorders, such as anorexia and bulimia nervosa, psychogenic polyphagia, trauma, diabetes mellitus etc. [1][2][3][4][5] . Acute massive gastric dilatation [AMGD] is the extreme form of AGD.…”

Section: Introductionmentioning

confidence: 99%

Acute massive gastric dilatation : a surgical emergency

Hota

Paul

Parya

et al. 2019

CSRC

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A 40 year old patient presents with acute pain abdomen with abdominal distension. History of unusual heavy meal one day before and following which symptoms appear. Few episodes of vomiting were associated. Resuscitation done. Straight x ray shows dilated gastric shadow. Patient posted for laparotomy after failing of conservative measures. On opening abdomen, hugely distended stomach seen with thinned out gastric wall and patchy areas of discolouration. A side to side gastrojejunostomy done after decompression on the dependent stomach. Post-operative recovery was uneventful. Psychological evaluation did not reveal any abnormality. Acute gastric dilatation can cause mucosal necrosis and gastric perforation therefore early diagnosis and gastric decompression is the key. Though most patients respond to conservative measures, failing which surgical decompression is needed.

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Acute Gastric Dilatation after Trauma

Cited by 36 publications

References 0 publications

An unusual case of massive gastric distension with catastrophic sequelae

An unusual case of massive gastric distension with catastrophic sequelae

An autopsy case of sudden death due to acute gastric dilatation without rupture

Acute massive gastric dilatation : a surgical emergency

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