Journal of Gastric Cancer

The Korean Gastric Cancer Association (대한위암학회)
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Acute Gastric Necrosis Due to Gastric Outlet Obstruction Accompanied with Gastric Cancer and Trichophytobezoar

  • Lee, Do-Sang (Department of Surgery, Bucheon St. Mary's Family Hospital, The Catholic University of Korea School of Medicine) ;
  • Sung, Ki-Young (Department of Surgery, Bucheon St. Mary's Family Hospital, The Catholic University of Korea School of Medicine) ;
  • Lee, Jun-Hyun (Department of Surgery, Bucheon St. Mary's Family Hospital, The Catholic University of Korea School of Medicine)
  • Received : 2011.07.14
  • Accepted : 2011.08.22
  • Published : 2011.09.30
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Abstract

Gastric necrosis due to gastric outlet obstruction is a very rare condition, but it might be fatal if missed or if diagnosis is delayed. Our patient was a 73-year-old male complaining of abdominal pain, distension and dyspnea for 1 day. In plain radiography and computed tomography, a markedly distended stomach and decreased enhancement at the gastric wall were noted. He underwent explo-laparotomy, and near-total gastric mucosal necrosis accompanied by sludge from the soaked laver was noted. A total gastrectomy with esophagojejunostomy was performed, and he recovered without sequelae. Final pathologic examination revealed advanced gastric cancer at the antrum with near-total gastric mucosal necrosis.

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References

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