Neumatosis gástrica y gas en el sistema venoso portal secundario a una úlcera péptica

Jiménez, José Luís; Gutiérrez, J.J. Puente; Moreno, Miguel Alonso Marín; Blanco, Enrique Bernal; Camacho, José Ignacio Gallardo; Vañó, Antonio Uceda

doi:10.1157/13127091

Cited by 7 publications

(1 citation statement)

References 10 publications

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“…Gastric pneumatosis has been described in various circumstances, including patients who have hemorrhagic radiation gastritis after Argon plasma coagulation [ 5 ], gastric ulcer [ 6 ], corrosive injury of stomach, status post endoscopy, gastric outlet obstruction, duodenal obstruction, nasogastric tube placement [ 3 ], hepatectomy with vascular reconstruction, obstructive pulmonary disease with bleb rupture [ 7 ], and high-dose dexamethasone therapy [ 8 ]. It can be divided into two categories: first, gastric emphysema, implying benign condition and usually being managed by conservative treatment; and second, emphysematous gastritis, suggesting emergent condition, and surgical intervention being critical for life-saving.…”

Section: Case Presentationmentioning

confidence: 99%

Esophagogastroduodenal pneumatosis with subsequent pneumoporta and intramural duodenal hematoma after endoscopic hemostasis: a case report

2015

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BackgroundEsophagogastroduodenal pneumatosis is the presence of air in esophagus, stomach, and duodenum simultaneously, which have never been described in the literature. Intramural duodenal hematoma (IDH) rarely occurs after endoscopic intervention. The diagnosis and treatment in both conditions are great challenge in daily practice.Case presentationA 70-year-old male patient, who had been taking warfarin for artificial valve replacement, developed IDH and esophagogastroduodenal pneumatosis after endoscopic hemostasis for duodenal ulcer bleeding. Initially, he had abdominal pain, gastrointestinal bleeding and hypotension. Later, he was found to have acute pancreatitis, biliary obstruction, gastric outlet obstruction and rapid decline of hemoglobin also ensued. The intramural duodenal hematoma and critical condition resolved spontaneously after conservative medical treatment.ConclusionBased on this case report, we suggest that intramural duodenal hematoma should be considered if a patient has the tetrad of pancreatitis, biliary obstruction, gastric outlet obstruction and rapid decline of hemoglobin after an endoscopic intervention. Those patients could be treated conservatively. But, surgery should be considered if the diseases progress or complications persist.

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Section: Case Presentationmentioning

confidence: 99%