Urosepsis Causing Gastric Ischemia: A Rare but Deadly Complication
A 70-year-old male presented with abdominal pain and altered mental status. He was found to have sepsis secondary to a urinary tract infection with imaging showing hepatic portal venous gas and gastric pneumatosis. Esophagogastroduodenoscopy revealed gastric ischemia extending to the midbody with ne...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2019/3682049 |
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| author | Vijay Jarodiya Chirag Kher Sangeetha Nanthabalan Gunjan Shah |
| author_facet | Vijay Jarodiya Chirag Kher Sangeetha Nanthabalan Gunjan Shah |
| author_sort | Vijay Jarodiya |
| collection | DOAJ |
| description | A 70-year-old male presented with abdominal pain and altered mental status. He was found to have sepsis secondary to a urinary tract infection with imaging showing hepatic portal venous gas and gastric pneumatosis. Esophagogastroduodenoscopy revealed gastric ischemia extending to the midbody with necrosis and biopsies confirming ischemia. The patient was treated conservatively with intermittent nasogastric tube suctioning, acid suppression therapy and broad-spectrum antibiotics. The patient improved clinically and repeat imaging and EGD showed resolution of the ischemia. The patient’s diet was advanced and he was discharged to a long-term acute care facility. Gastric ischemia is a rare condition caused by local or diffuse vascular insufficiency. Management is either surgical or conservative with acid suppression, nasogastric tube suctioning and broad-spectrum antibiotics. Gastric ischemia is often diagnosed late and can have complications such as gastric perforation which carries high morbidity and mortality. |
| format | Article |
| id | doaj-art-0fccca51c4e0454689e0bd89765083f7 |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-0fccca51c4e0454689e0bd89765083f72025-02-03T07:24:38ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362019-01-01201910.1155/2019/36820493682049Urosepsis Causing Gastric Ischemia: A Rare but Deadly ComplicationVijay Jarodiya0Chirag Kher1Sangeetha Nanthabalan2Gunjan Shah3St. Mary Mercy Livonia Hospital, Department of Internal Medicine, Livonia, MI 48154, USASt. Mary Mercy Livonia Hospital, Department of Internal Medicine, Livonia, MI 48154, USASt. Mary Mercy Livonia Hospital, Department of Internal Medicine, Livonia, MI 48154, USASt. Mary Mercy Livonia Hospital, Department of Gastroenterology, Livonia, MI 48154, USAA 70-year-old male presented with abdominal pain and altered mental status. He was found to have sepsis secondary to a urinary tract infection with imaging showing hepatic portal venous gas and gastric pneumatosis. Esophagogastroduodenoscopy revealed gastric ischemia extending to the midbody with necrosis and biopsies confirming ischemia. The patient was treated conservatively with intermittent nasogastric tube suctioning, acid suppression therapy and broad-spectrum antibiotics. The patient improved clinically and repeat imaging and EGD showed resolution of the ischemia. The patient’s diet was advanced and he was discharged to a long-term acute care facility. Gastric ischemia is a rare condition caused by local or diffuse vascular insufficiency. Management is either surgical or conservative with acid suppression, nasogastric tube suctioning and broad-spectrum antibiotics. Gastric ischemia is often diagnosed late and can have complications such as gastric perforation which carries high morbidity and mortality.http://dx.doi.org/10.1155/2019/3682049 |
| spellingShingle | Vijay Jarodiya Chirag Kher Sangeetha Nanthabalan Gunjan Shah Urosepsis Causing Gastric Ischemia: A Rare but Deadly Complication Case Reports in Gastrointestinal Medicine |
| title | Urosepsis Causing Gastric Ischemia: A Rare but Deadly Complication |
| title_full | Urosepsis Causing Gastric Ischemia: A Rare but Deadly Complication |
| title_fullStr | Urosepsis Causing Gastric Ischemia: A Rare but Deadly Complication |
| title_full_unstemmed | Urosepsis Causing Gastric Ischemia: A Rare but Deadly Complication |
| title_short | Urosepsis Causing Gastric Ischemia: A Rare but Deadly Complication |
| title_sort | urosepsis causing gastric ischemia a rare but deadly complication |
| url | http://dx.doi.org/10.1155/2019/3682049 |
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