Neumatosis gástrica y gas en el sistema venoso portal secundario a una úlcera péptica
| Autor: | Juan Jesús Puente Gutiérrez, José Luis Domínguez Jiménez, Antonio Uceda Vañó, Enrique Bernal Blanco, Miguel Alonso Marín Moreno, José Ignacio Gallardo Camacho |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Hepatology medicine.diagnostic_test Recurrent vomiting Decompression Gastric Dilatation business.industry Gastroenterology Portal venous system Physical examination medicine.disease digestive system diseases Surgery medicine.anatomical_structure medicine Abdomen Hernia medicine.symptom business |
| Zdroj: | Gastroenterología y Hepatología. 31:494-496 |
| ISSN: | 0210-5705 |
| DOI: | 10.1157/13127091 |
| Popis: | A 72-year-old woman presented to the emergency department with recurrent vomiting without abdominal pain. On physical examination, the patient was afebrile and her abdomen was soft and nontender with a giant abdominal-wall hernia. Upper endoscopy showed a deep, 3-cm ulcer at the gastric angulus. Computed tomography (CT) of the abdomen showed gastric dilatation with gas in the wall and a large part of the digestive tract within the hernia sac. CT imaging also revealed gas throughout the portal venous system. The patient declined surgery. Management was conservative and included correction of fluid and electrolyte balance, and nasogastric drainage for gastric decompression with good response. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|