Pneumoperitoneum from acute gastric dilation and perforation

Azevedo, Fernando; Canhoto, Carolina; Costa, Beatriz; Carvalho, Hélder

doi:10.1136/bcr-2019-232392

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…There is variability in the clinical presentation, which may lead to a delay in diagnosis and treatment 6–8. The timing of diagnosis plays an important role because leakage of contaminated agents into the thoracic or abdominal cavity can cause significant complications such mediastinitis, peritonitis and multiorgan failure 6 9.…”

Section: Introductionmentioning

confidence: 99%

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Robotic surgery in the management of synchronous esophageal and gastric perforation after endoscopic dilation

Donado Jimenez,

Jimenez,

Cubas

2024

BMJ Case Rep

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Upper gastrointestinal perforation is a feared complication of diagnostic and therapeutic endoscopy, with an incidence of perforation between 0.3% and 5%. Even though is rare, the mortality rate can be as high as 40%. Currently, there is no consensus on the best therapeutic strategy and it usually depends on patient stability, the extent of perforation, time to diagnosis, surgeon experience and available resourcesWe present a case of a patient who presented to our institution to undergo an ambulatory oesophageal dilation. After dilation, the patient developed two full-thickness gastric perforations and a full-thickness oesophageal perforation without haemodynamic instability. All perforations were diagnosed and treated with a combination of intraoperative endoscopy and robotic surgery with excellent outcomes.We demonstrate that a robotic approach combined with intraoperative diagnostic endoscopy is a safe and feasible treatment option for esophageal and gastric perforations in a stable patient without large extraluminal contamination.

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Section: Introductionmentioning

confidence: 99%

“…The timing of diagnosis plays an important role because leakage of contaminated agents into the thoracic or abdominal cavity can cause significant complications such mediastinitis, peritonitis and multiorgan failure 6 9. Although rare, the mortality rate can be as high as 40%, particularly in cases of delayed treatment 6–8…”

Section: Introductionmentioning

confidence: 99%

Robotic surgery in the management of synchronous esophageal and gastric perforation after endoscopic dilation

Donado Jimenez,

Jimenez,

Cubas

2024

BMJ Case Rep

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Surgical Management of Non-ulcer, Nonneoplastic Gastric Perforations

Lazar,

Larson,

Argiroff

2025

Surgical Clinics of North America

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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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Pneumoperitoneum from acute gastric dilation and perforation

Cited by 3 publications

References 3 publications

Robotic surgery in the management of synchronous esophageal and gastric perforation after endoscopic dilation

Robotic surgery in the management of synchronous esophageal and gastric perforation after endoscopic dilation

Surgical Management of Non-ulcer, Nonneoplastic Gastric Perforations

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

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