Distensión gástrica masiva con gastritis enfisematosa: reporte de un caso y revisión de la literatura

Tuero, Carlota; Docio, Gorka; Artajona, Alicia; Arin, Beñat; Cires, Manuel; Montón, Soledad

doi:10.24875/ciru.21000614

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…Undulations of gastric contours are common imaging manifestations[ 7 , 13 ]. In ischemic gastritis, the formation of gas due to mucosal surface damage or bacterial superinfection caused by bloodborne dissemination leads to the occurrence of intramural gas consistent with emphysema gastritis, with higher mortality[ 14 , 15 ]. Early diagnosis and timely treatment are crucial to prevent disease progression and reduce incidence and mortality.…”

Section: Discussionmentioning

confidence: 99%

Diffuse arterial atherosclerosis presenting with acute ischemic gastritis: A case report

Wei,

Zhu,

et al. 2023

World J Clin Cases

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BACKGROUND Ischemic gastritis is a clinically rare disease with high mortality that infrequently reported in the medical literature and under-recognized clinically and histopathologically. Early diagnosis and treatment can only be achieved through upper gastrointestinal endoscopy after symptoms appear. CASE SUMMARY A 68-year-old woman with a history of intracranial aneurysm developed dizziness, chest tightness and unconsciousness for 2 d. Computed tomography angiography showed diffuse coronary atherosclerosis, moderate to severe stenosis in the proximal end of the left anterior descending branch, multiple calcified plaques in the proximal end of the circumflex branch and right coronary artery, and mild to moderate stenosis. The patient also developed diffuse atherosclerosis in the splenic and mesenteric arteries, with mild lumen stenosis and atherosclerosis in the abdominal aorta and its branches. Endoscopy showed submucosal congestion and damage of the entire gastric mucosa, of which the fundus and body of the stomach were most seriously affected. The mucosa was swollen, with a deep purple color, surface erosion and dark red oozing blood. Pathological examination showed bleeding and necrosis of the gastric mucosa, with residual contours of the gastric glands, consistent with ischemic gastritis. CONCLUSION Ischemic gastritis is a rare disease that may be difficult to diagnose as its symptoms may be similar to those of other gastrointestinal diseases. Diagnosis is usually based on endoscopic and pathological examinations, which show insufficient blood supply to the gastric mucosa leading to mucosal damage and necrosis.

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Section: Discussionmentioning

confidence: 99%

Diffuse arterial atherosclerosis presenting with acute ischemic gastritis: A case report

Wei,

Zhu,

et al. 2023

World J Clin Cases

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“…Several case reports have highlighted severe complications, including ulceration, gastric outlet obstruction, emphysematous gastritis, visceral perforation, and underlying malignancy, emphasizing the necessity for early detection of Sarcina spp. infections to prevent substantial morbidity and mortality [3,[7][8][9][10][11]. Despite the growing number of severe complications associated with Sarcina spp., several cases have reported the presence of these organisms in the absence of symptoms or other pathological findings upon histologic review, suggesting a non-pathologic or opportunistic nature of these organisms [12][13][14].…”

Section: Discussionmentioning

confidence: 99%

Unveiling the Culprit: Sarcina Infection in the Stomach and Its Link to Unexplained Weight Loss

Maradiaga,

Mussad,

Yearsley

et al. 2023

Cureus

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Sarcina species (spp.) infections in humans are relatively rare; however, reported cases have recently increased. We have presented the case of a 56-year-old female with diabetes who presented with bloating, dysphagia, and substantial weight loss, ultimately diagnosed with reactive gastritis secondary to Sarcina spp. infection. Administration of antibiotics and a proton pump inhibitor led to symptom alleviation and weight gain. This case underscores the significance of considering Sarcina spp. infection in patients experiencing unexplained weight loss and nonspecific gastrointestinal symptoms, highlighting the importance of promptly identifying and managing these infections to prevent potentially life-threatening complications that are becoming more prevalent in literature.

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Acute Gastric Dilatation: A Retrospective Case Series from a Single Institution

Bathobakae,

Bashir,

Venero

et al. 2024

Case Rep Gastroenterol

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Introduction: Acute gastric dilatation (AGD) is a massive distension of the stomach caused by the accumulation of gas, gastric secretions, or food material. AGD is a radiological diagnosis with no clear etiopathogenesis and is often misdiagnosed owing to a lack of clear diagnostic criteria and physician awareness. Case Presentation: In this case series, we describe the clinical presentations and outcomes of 4 patients with AGD. Three (75%) of the patients were female, and one (25%) was male. The patients’ ages ranged from 53 to 84 years, with an average age of 73.5 years. Abdominal pain, nausea, and vomiting were the most frequently reported complaints. Two (50%) patients had cancer, one (25%) had an acquired duodenal stenosis, and the fourth patient experienced an ileus. Conclusion: AGD is a surgical emergency with a 50–100% mortality rate; thus, prompt diagnosis and management are crucial. Herein, we describe a case series of AGDs that were diagnosed and managed at our institution. We aim to raise awareness about this fatal yet underrecognized clinical entity.

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Distensión gástrica masiva con gastritis enfisematosa: reporte de un caso y revisión de la literatura

Cited by 3 publications

References 8 publications

Diffuse arterial atherosclerosis presenting with acute ischemic gastritis: A case report

Diffuse arterial atherosclerosis presenting with acute ischemic gastritis: A case report

Unveiling the Culprit: Sarcina Infection in the Stomach and Its Link to Unexplained Weight Loss

Acute Gastric Dilatation: A Retrospective Case Series from a Single Institution

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