Gastric necrosis and perforation caused by acute gastric dilatation

Abstract

Acute gastric dilatation was first defined by Duplay in 1833. We herein present the case of a 55-year-old male patient diagnosed with gastric necrosis and perforation caused by acute gastric dilatation. Since the stomach has a rich blood circulation, necrosis and perforation are rarely seen. Clinically, more than 90% of cases have complaints of vomiting. The most useful method in revealing the diagnosis and aetiology is computerized tomography. Medical treatment is appropriate for cases where no necrosis and peritonitis findings are detected through endoscopy. Delays in surgical treatment increase the risk of mortality.

Gastric Ischemia after SARS-CoV-2 Infection

“…Upon examination, we considered our patient GaI as there was no gastric distension, gastric debris, black color change, omental liquefaction or hemorrhagic fluid collection, which are all signs of gastric necrosis. Gross pathologic images from case reports of the stomach when gastric necrosis occurs is different from our case of GaI [16,17]. In terms of treatment, if the patient has gastric necrosis, gastrectomy should be the main treatment option to remove dead tissue.…”

“…Differential diagnosis with GaI as in our case is gastric necrosis and gastric perforation. The CT images may be similar with gastric necrosis and gastric perforation [16,17]. However, the differential diagnosis can be done easily in the operating room where gastric necrosis has loss of structural integrity, i.e., the organ cannot recover, which can be the endpoint of ischemia, and air leak in perforation.…”

Acute Gastric Necrosis in a Teenager

“…Diagnosis can be supported by radiological imaging of gastric dilatation and pneumoperitoneum. Early diagnosis is significant, and CT scan is relevant in revealing diagnosis and etiology [ 13 , 14 ]. The cardinal consequence of binge eating as occurred in the index case is acute gastric dilatation which has been implicated as the key pathway leading to gastric necrosis in more than half the cases reported [ 14 , 15 ].…”