Gastric rupture with necrosis following acute gastric dilatation: report of a case

Autor: Takehiro Mishima, Takashi Kanematsu, Junpei Maeda, Junji Irie, Amane Kitasato, Keiji Inoue, Tamotsu Kuroki, Norihiro Kohara, Yoshitsugu Tajima, Susumu Eguchi, Tomohiko Adachi, Takehito Watanabe, Tsuyoshi Ohno
Rok vydání: 2012
Předmět:
Zdroj: Surgery Today. 42:997-1000
ISSN: 1436-2813
0941-1291
DOI: 10.1007/s00595-012-0162-4
Popis: Gastric rupture with necrosis following acute gastric dilatation (AGD) is a rare and potentially fatal event; usually seen in patients with eating disorders such as anorexia nervosa or bulimia. A 12-year-old lean boy with no remarkable medical history was brought to our Emergency Department suffering acute abdominal symptoms. Emergency laparotomy revealed massive gastric dilatation and partial necrosis, with rupture of the anterior wall of the fundus of the stomach. We performed partial gastrectomy and the patient recovered uneventfully. We report this case to demonstrate that AGD and subsequent gastric rupture can occur in patients without any underlying disorders and that just a low body mass index is a risk factor for this potentially fatal condition.
Databáze: OpenAIRE