Acute Dilatation, Ischemia, and Necrosis of Stomach without Perforation

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...

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Main Authors: Manash Ranjan Sahoo, Anil T. Kumar, Sunil Jaiswal, Siba Narayan Bhujabal
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2013/984594
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author Manash Ranjan Sahoo
Anil T. Kumar
Sunil Jaiswal
Siba Narayan Bhujabal
author_facet Manash Ranjan Sahoo
Anil T. Kumar
Sunil Jaiswal
Siba Narayan Bhujabal
author_sort Manash Ranjan Sahoo
collection DOAJ
description 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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spelling doaj-art-2003558b0fb34a139b32ea74e4e6780d2025-02-03T01:11:03ZengWileyCase Reports in Surgery2090-69002090-69192013-01-01201310.1155/2013/984594984594Acute Dilatation, Ischemia, and Necrosis of Stomach without PerforationManash Ranjan Sahoo0Anil T. Kumar1Sunil Jaiswal2Siba Narayan Bhujabal3Department of Surgery, SCB. Medical College, Cuttack, Odisha 753007, IndiaDepartment of Surgery, SCB. Medical College, Cuttack, Odisha 753007, IndiaDepartment of Surgery, SCB. Medical College, Cuttack, Odisha 753007, IndiaDepartment of Surgery, SCB. Medical College, Cuttack, Odisha 753007, IndiaAcute 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.http://dx.doi.org/10.1155/2013/984594
spellingShingle Manash Ranjan Sahoo
Anil T. Kumar
Sunil Jaiswal
Siba Narayan Bhujabal
Acute Dilatation, Ischemia, and Necrosis of Stomach without Perforation
Case Reports in Surgery
title Acute Dilatation, Ischemia, and Necrosis of Stomach without Perforation
title_full Acute Dilatation, Ischemia, and Necrosis of Stomach without Perforation
title_fullStr Acute Dilatation, Ischemia, and Necrosis of Stomach without Perforation
title_full_unstemmed Acute Dilatation, Ischemia, and Necrosis of Stomach without Perforation
title_short Acute Dilatation, Ischemia, and Necrosis of Stomach without Perforation
title_sort acute dilatation ischemia and necrosis of stomach without perforation
url http://dx.doi.org/10.1155/2013/984594
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