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

Watanabe, Satoshi; Terazawa, Koichi; Asari, Masaru; Matsubara, Kazuo; Shiono, Hiroshi; Shimizu, Keiko

doi:10.1016/j.forsciint.2008.07.005

Cited by 41 publications

(44 citation statements)

References 33 publications

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Section: Discussionmentioning

confidence: 99%

“…1 As well as many other reasons, anorexia nervosa, polyphagia, volvulus, superior mesenteric artery syndrome, and bulimia nervosa are the factors playing a key role in the etiology of acute gastric dilatation. [1][2][3] Episodes of acute gastric dilatation may result in serious outcomes, such as gastric necrosis, gastric perforation, and even death. [4][5][6] We report this child to demonstrate that acute gastric dilatation and subsequent gastric necrosis may occur in a child without any underlying disorders, and that rarely seen coexistence of acute gastric dilatation and gastric necrosis is a potential risk factor for severe morbidity and mortality.…”

Section: Discussionmentioning

confidence: 99%

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Unexpected Death Due to Acute Gastric Dilatation and Gastric Necrosis in an 11-Year-Old Boy

et al. 2017

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This report is related to the unusual case of an 11-year-old boy presenting with acute gastric dilatation after the intake of excessive food and carbonated beverages after a 12-hour fasting who died of complications of acute reperfusion syndrome after decompression of the stomach with gastrotomy. An enormously distended stomach was encountered without volvulus and obstruction in the operation. Autopsy and histological findings revealed a severely distended stomach, the walls of which were notably thin and displayed transmural necrosis. The reported case demonstrated that enormous food and beverage intake may cause acute gastric dilatation and gastric necrosis, and subsequently, sudden death may develop in children. The subject reported here is the youngest child in literature dying from acute gastric dilatation and necrosis without any underlying disorders and exposed to autopsy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Unexpected Death Due to Acute Gastric Dilatation and Gastric Necrosis in an 11-Year-Old Boy

et al. 2017

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“…It is mainly caused as a result of "binge eating" if a patient has anorexia nervosa or bulimia. Other cases of gastric dilatation (both with or without perforation of the stomach) have been reported as a result of air swallowing or after Nissen fundoplication [1,2] and also after excessive eating, pylorospasm with threat of peptic ulcer disease [2,3], acute pancreatitis, gastric haemorrhage, injury, pregnancy or ingestion of sodium bicarbonate. Additionally there are cases documenting complications involving gastric infarction with perforation, compression of the aorta with ischemic injury of the bowels and lower arteries [4].…”

Section: Discussionmentioning

confidence: 99%

Life-threatening gastric dilatation with anorexia nervosa

et al. 2011

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Background: Gastric dilatation can turn into a life-threatening condition including bleeding, necrotic intestinal wall, intra-abdominal rupture and severe lung complications with aspiration and respiratory insufficiency.Methods: Case report.Results: We present a case of a young female patient with anorexia nervosa and massive chronic gastric dilatation, necrotic gastric wall and chronic aspiration with respiratory insufficiency that was successfully treated mainly conservative with prokinetic agents and PPI (proton pump inhibitor). Surgery was necessary for the treatment of the appearing complications.Conclusions: As shown in our case conservative management of gastric dilatation is a good alternative to primarily operative treatment.

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“…A rare complication of eating disorders is the acute gastric dilatation with necrosis. However, it can occur after large intake of food over a short period of time (1)(2)(3).…”

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confidence: 99%