Gastric Emphysema Related with Superior Mesenteric Artery Syndrome

Autor: Seung Hyoung Kim, Yu Min Lee, Heung Up Kim, Hyun Joo Song, Soo Young Na, Sun Jin Boo
Rok vydání: 2014
Předmět:
Zdroj: The Ewha Medical Journal. 37:141
ISSN: 2234-2591
2234-3180
Popis: Gastric emphysema is caused by a mucosal disruption of stomach, which is leading to the dissection of air into the wall. A 24-year-old man admitted to our hospital with vomiting, abdominal distension, and pain. Abdominal computed tomography showed severe gastric distension, air within the gastric wall, and a compressed third segment of the duodenum by superior mesenteric artery (SMA). The upper endoscopy revealed multiple geographic ulcers in the gastric body and marked dilatation of the second segment of duodenum and a collapsed third segment. Based on these findings and his symptoms, the patient was diagnosed as having gastric emphysema related with SMA syndrome. He improved after the nasogastric decompression, jejunal feeding and administration of antibiotics. We report a rare case of gastric emphysema related with SMA syndrome. He was managed successfully with medical treatment and nutritional support. (Ewha Med J 2014;37(2):141-145)
Databáze: OpenAIRE