Near-Total Gastric Necrosis Caused by 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: 85%

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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“…Reported aetiologies include intra-thoracic herniation, volvulus, acute necrotizing gastritis, ingestion of caustic material, vascular compromise and, as in this case, acute gastric dilatation [8]. The rich collateral blood supply of the stomach and its extensive intramural anastomoses normally protects from ischaemia [8]. A ligation of all four major arteries and 80% of its small vessels would not result in gastric necrosis, as shown in animal models.…”

Section: Gastric Necrosismentioning

confidence: 83%

“…Plain abdominal X-rays demonstrate a combination of fluid and gas in the left upper quadrant within a distended stomach. The initial therapy consists of a decompression of the stomach by a nasogastric tube [6][7][8].…”

Section: Acute Gastric Dilatationmentioning

confidence: 99%

“…Urgent surgical therapy is mandatory, and a delay of diagnosis may be fatal [6]. Reported aetiologies include intra-thoracic herniation, volvulus, acute necrotizing gastritis, ingestion of caustic material, vascular compromise and, as in this case, acute gastric dilatation [8]. The rich collateral blood supply of the stomach and its extensive intramural anastomoses normally protects from ischaemia [8].…”

Section: Gastric Necrosismentioning

confidence: 99%

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