Gastric rupture with necrosis following acute gastric dilatation: report of a case

Mishima, Takehiro; Kohara, Norihiro; Tajima, Yoshitsugu; Maeda, Junpei; Inoue, Keiji; Ohno, Tsuyoshi; Kitasato, Amane; Watanabe, Toshiaki; Irie, Junji; Adachi, Tomohiko; Kuroki, Tamotsu; Eguchi, Susumu; Kanematsu, Takashi

doi:10.1007/s00595-012-0162-4

Cited by 31 publications

(23 citation statements)

References 20 publications

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“…Ischemia is caused presumably due to venous insufficiency when massive dilatation occurs [11, 12]. To impair venous outflow, either 14 mmHg of pressure or more than 3 litres of fluid is sufficient, although more than 15 litres has been described in eating disorders in chronic distension.…”

Section: Discussionmentioning

confidence: 99%

Acute Dilatation, Ischemia, and Necrosis of Stomach without Perforation

Sahoo

Kumar

Jaiswal

et al. 2013

Case Reports in Surgery

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Acute gastric dilatation can have multiple etiologies which may lead to ischemia of the stomach. Without proper timely diagnosis and treatment, potentially fatal events such as gastric perforation, haemorrhage, and other serious complications can occur. Here we present a 36-year-old man who came to the casualty with pain abdomen and distension for 2 days. Clinically, abdomen was asymmetrically distended more in the left hypochondrium and epigastrium region. Straight X-ray abdomen showed opacified left hypochondrium with nonspecific gaseous distension of bowel. Exploratory laparotomy revealed dilated stomach with patchy gangrene over lesser curvature and fundic area. About 4 litres of brownish fluid along with semisolid undigested food particles was sucked out (mainly undigested pieces of meat). Limited resection of gangrenous areas and primary repair were done along with feeding jejunostomy. Necrosis of the stomach was confirmed on histopathology. The patient recovered well and was discharged on the tenth postoperative day.

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Section: Discussionmentioning

confidence: 99%

Acute Dilatation, Ischemia, and Necrosis of Stomach without Perforation

Sahoo

Kumar

Jaiswal

et al. 2013

Case Reports in Surgery

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“…It has been reported as a complication of abdominal surgery, and can also result from a variety of disorders, such as anorexia nervosa, trauma, superior mesenteric artery syndrome, and anti‐acid use . AGD has been reported in Prader–Willi syndrome or in cerebral palsy patients, but it rarely occurs in the healthy population with unknown etiology, as in the present case.…”

Section: Discussionmentioning

confidence: 55%

Life‐threatening acute gastric dilatation with aorta compression in a 3‐year‐old child

Kim

Jung

Eun

2015

Pediatrics International

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We report a fatal case of acute gastric dilatation in a 3-year old boy who presented with severe abdominal pain and massive gastric distension in the emergency room. On physical examination the patient was in shock due to acute abdomen and lower limb ischemia. Initial laboratory findings showed multi-organ failure with acute renal failure and pancreatitis. Abdominal computed tomography (CT) showed marked dilatation of the stomach resulting in compression of the abdominal aorta. The left kidney, spleen and pancreas were not visible on CT due to the necrotic changes. The patient was quickly stabilized by initial volume resuscitation, but suddenly deteriorated immediately after gastric decompression via nasogastric tube, and died from multi-organ failure 3 h after initial presentation.

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“…The most concerning finding in this case is the acute gastric dilatation (AGD), because AGD can lead to gastric rupture, which could be deadly. A number of case reports describe scenarios in which either extreme gastric distension or rupture causes morbidity or mortality in patients with eating disorders . Others have described gastric foreign bodies found on radiography, which could cause obstruction, although this was not the situation in this case.…”

Section: Casesmentioning

confidence: 73%